Active NPI
Kenneth L Crawford, M.D.
- Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1801820402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17107
- Practice address
- 10525 Highview Dr
Oklahoma City, OK 73151-9374 - Phone
- (405) 755-0220
- Fax
- (405) 755-9203
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17107 | OK | Primary |
Addresses
Primary practice location
10525 Highview Dr
Oklahoma City, OK 73151-9374
Mailing address
10525 Highview Dr
Oklahoma City, OK 73151-9374
Phone (405) 755-0220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100217820A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1801820402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10525 HIGHVIEW DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731519374",
"telephone_number": "405-755-0220",
"fax_number": "405-755-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10525 HIGHVIEW DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731519374",
"telephone_number": "405-755-0220",
"fax_number": "405-755-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "KENNETH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "17107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100217820A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.