Organization Active NPI

Herzog Crawford and Flynn, LLC

Doing business as SCI/D Innovations

  • Wound Care Registered Nurse
  • Eureka, MO
National Provider Identifier
1710640461
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
HERZOG CRAWFORD AND FLYNN, LLC
Doing business as
SCI/D Innovations
Practice address
730 Enderwood PL
Eureka, MO 63025-1177
Phone
(443) 824-4788
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jahari Malek Crawford Sr.
Title
Coo
Phone
(443) 824-4788

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X Primary
Nursing Care Agency 251J00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

730 Enderwood PL
Eureka, MO 63025-1177

Mailing address

101 Thresher Dr Unit 544
Eureka, MO 63025-1985

Other names 1

  • SCI/D Innovations Doing business as

National Provider Directory

National Provider Directory

Locations

101 Thresher Dr
Unit 544
Eureka, MO 63025

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1710640461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THRESHER DR UNIT 544",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 ENDERWOOD PL",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251177",
            "telephone_number": "443-824-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERZOG CRAWFORD AND FLYNN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JAHARI",
        "authorized_official_middle_name": "MALEK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "443-824-4788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCI/D Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.