Individual provider Active NPI

Ian Cloid Crawford, NP-BC

  • Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1972280048
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024187755 Issued in VA
Practice address
7607 Forest Ave Ste 220
Richmond, VA 23229-4913
Phone
(804) 285-9416
NPI assigned
Jun 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024187755 VA Primary

Addresses

Primary practice location

7607 Forest Ave Ste 220
Richmond, VA 23229-4913

Mailing address

1401 Turnmill Dr
North Chesterfield, VA 23235-5566
Phone (804) 401-0807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921001102 VA Practitioner - Nurse Practitioner 4880048065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henrico Surgical Specialists LLCGroup PAC ID 3375680234, 28 clinicians

Practice addresses (Care Compare)

7607 Forest Ave
Suite 220
Richmond, VA 23229-4913
Phone (804) 285-9416

Hospital & facility affiliations

  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024187755VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henrico Surgical Specialists, LLC CurrentSince Sep 11, 2023 Accepting new patients
Virginia Gynecologic Oncology LLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

9275 Chamberlayne Rd
Ste 120
Mechanicsville, VA 23116
Phone (804) 285-9416

7607 Forest Ave
Ste 220
Richmond, VA 23229
Phone (804) 285-9416

110 N Robinson St
Ste 303
Richmond, VA 23220
Phone (804) 200-1950

Interoperability endpoints

  • Direct secure messaging: ian.crawford@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1972280048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 TURNMILL DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355566",
            "telephone_number": "804-401-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 FOREST AVE STE 220",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294913",
            "telephone_number": "804-285-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "IAN",
        "middle_name": "CLOID",
        "name_prefix": "Mr.",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024187755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.