Active NPI
Jordan W Crafton, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD-000970
- Practice address
- 630 N Alvernon Way Ste 351
Tucson, AZ 85711-1838 - Phone
- (520) 881-2600
- Fax
- (520) 881-2600
- NPI assigned
- May 25, 2016
- Last updated
- Jul 13, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD-000970 | AZ | Primary |
Addresses
Primary practice location
630 N Alvernon Way Ste 351
Tucson, AZ 85711-1838
Mailing address
PO Box 13627
Tucson, AZ 85732-3627
Phone (520) 881-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Madison Professional Park
Rexburg, ID 83440-2057
Phone (208) 359-1400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 27 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 14 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Co Memorial Hospital | Current | Accepting new patients | |
| Madison Co Memorial Hospital | Podiatrist | Current | Accepting new patients |
| Valley ENT, PC | Past | Accepting new patients | |
| Madison Co Memorial Hospital | Podiatrist | Past | Accepting new patients |
Locations
25 Madison Professional Park
Rexburg, ID 83440
Phone (208) 359-1400
37 S 2nd E
Rexburg, ID 83440
Phone (208) 356-0234
393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401
450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691
Organizations & group practices 4
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.
-
dba Madison Memorial Rexburg Medical Clinic
- Family Medicine Physician
- Rexburg, ID
- NPI 1134592017
-
dba Rigby Medical Center
- Family Medicine Physician
- Rigby, ID
- NPI 1356026280
Podiatrist
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seasons Medical By Madison Memorial
- Obstetrics & Gynecology Physician
- Rexburg, ID
- NPI 1073154266
Hospital
-
- General Acute Care Hospital
- Rexburg, ID
- NPI 1992747570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1861840274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13627",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857323627",
"telephone_number": "520-881-2600",
"fax_number": "520-881-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N ALVERNON WAY STE 351",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111838",
"telephone_number": "520-881-2600",
"fax_number": "520-881-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFTON",
"first_name": "JORDAN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "POD-000970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.