David A Crocker, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01062616A Issued in IN

Practice address

6325 Digital Way
Suite 480
Indianapolis, IN 46278-1678

Phone

(317) 275-5005

NPI assigned

Jul 20, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NT Radiology Group, LLC

  • Therapeutic Radiology Physician
  • Indianapolis, IN
  • NPI 1902902307

  Diagnostic Radiology

  NPD (past)
• Alabama Coastal Radiology, PC

  • Specialist
  • Mobile, AL
  • NPI 1093796781
  NPD (past)
• Radiological Physician Associates Inc

  • Diagnostic Radiology Physician
  • Fairmont, WV
  • NPI 1811996960
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760481816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 DIGITAL WAY",
            "address_2": "SUITE 480",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781678",
            "telephone_number": "317-275-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 DIGITAL WAY",
            "address_2": "SUITE 480",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781678",
            "telephone_number": "317-275-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "20805",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01062616A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760481816",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000501707",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812489000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aura Ioana Cristea, MD
• Ember Criswell, RN
• Kundai Crites, DO
• Danyelle Crittenden
• Matthew W Crittendon, MD
• Jennifer V Crocker, MD
• Adam M Crockett
• Kathleen Crockett, RD
• Kylie M Crockett, ARNP
• Rodney Crockett

• Diagnostic Radiology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.