Larry George Crick, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20235 Issued in KY

Practice address

110 3Rd St
Suite 180
Henderson, KY 42420-2993

Phone

(270) 827-3573

Fax

(270) 827-1250

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lcrick56002@direct.deaconess.com

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.

• Deaconess Clinic, Inc

  • Family Medicine Physician
  • Morganfield, KY
  • NPI 1891941688

  Pediatrics

  Medicare reassignment NPD
• Deaconess Clinic, Inc

  • Family Medicine Physician
  • Henderson, KY
  • NPI 1306092192

  Pediatrics

  NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310
  NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821155532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 3RD ST",
            "address_2": "SUITE 180",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202993",
            "telephone_number": "270-827-3573",
            "fax_number": "270-827-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 3RD ST",
            "address_2": "SUITE 180",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202993",
            "telephone_number": "270-827-3573",
            "fax_number": "270-827-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRICK",
        "first_name": "LARRY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "20235",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01041832A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64202351",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert L. Cottingham, OD
• Scott Faurest Crafton, D.M.D
• Laura Ashley Craighead, D.M.D.
• Crick & Fife, L.L.P.
• Crick and Fife, LLP
• Crystal S Oliver OD PLLC
• Carmen R Cusic, PT
• Zarna J Dahya, MD
• Tammy J Dallmeier, PTA
• Shelby N Darr

• Pediatrics Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Pediatrics Physician in Kentucky

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.