Active NPI
Danielle Venegonia Crawford, DPM
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO4012
- Practice address
- 6841 Blanding Blvd
Jacksonville, FL 32244-4418 - Phone
- (904) 862-2175
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 01534 | MD | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4012 | FL | Primary |
Addresses
Primary practice location
6841 Blanding Blvd
Jacksonville, FL 32244-4418
Mailing address
1600 E Gude Dr
Suite 200
Rockville, MD 20850-1341
Phone (301) 933-7133
Other practice location 1
11801 Rockville Pike Ste 105
Rockville, MD 20852-2714
Phone (301) 881-6222
Other practice location 2
9422 Arlington Expy
Jacksonville, FL 32225
Phone (904) 559-1844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2353105 00 | Medicaid | MD |
Other names 1
- Danielle Venegonia Crawford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, FL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1121 N Orleans St
Chicago, IL 60610-2511
Phone (877) 674-1211
2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000
Phone (618) 277-5700
Hospital & facility affiliations
- Memorial Hospital
- Community Hospital of Staunton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 432 |
| Removal or shaving of skin growth | 277 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Associated Foot Surgeons of Belleville, LTD. | Foot & Ankle Surgery | Current | Accepting new patients |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Associated Foot Surgeons of Southwest Illinois, LTD. | Foot & Ankle Surgery | Current | Accepting new patients |
| Aria Podiatry Care PLLC | Podiatrist | Current | Accepting new patients |
| Aria Dental Care PC | Past | Accepting new patients |
Locations
9422 Arlington Expy
Jacksonville, FL 32225
Phone (904) 559-1844
6841 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 862-2175
206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767
2900 Frank Scott Pkwy W
Ste 900
Belleville, IL 62223
Phone (618) 277-5700
2900 Frank Scott Pkwy W
Belleville, IL 62223
Phone (618) 234-9200
1121 N Orleans St
Chicago, IL 60610
Phone (312) 943-4300
2133 Vadalabene Dr
Ste 5
Maryville, IL 62062
Phone (618) 205-6107
793 Sunset Blvd
O Fallon, IL 62269
Phone (618) 632-1100
402 N Wood St
Staunton, IL 62088
Phone (618) 391-6495
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIBADD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Belleville, IL
- NPI 1740653591
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
- Specialist
- Tampa, FL
- NPI 1700393881
-
- Foot & Ankle Surgery Podiatrist
- Belleville, IL
- NPI 1538203377
-
- Dentist
- Overland Park, KS
- NPI 1942977632
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Staunton, IL
- NPI 1750308631
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1760779573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E GUDE DR",
"address_2": "SUITE 200",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501341",
"telephone_number": "301-933-7133",
"fax_number": "301-933-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6841 BLANDING BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322444418",
"telephone_number": "904-862-2175"
}
],
"practiceLocations": [
{
"address_1": "11801 Rockville Pike Ste 105",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208522714",
"country_code": "US",
"telephone_number": "301-881-6222",
"fax_number": "301-881-1639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9422 Arlington Expy",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32225",
"country_code": "US",
"telephone_number": "904-559-1844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAWFORD",
"first_name": "DANIELLE",
"middle_name": "VENEGONIA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "01534",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2353105 00",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "CRAWFORD",
"middle_name": "VENEGONIA",
"credential": "DPM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.