Individual provider Active NPI

Kevin J Crosslin, M.D., FACOG

  • Obstetrics & Gynecology Physician
  • Somerset, KY
National Provider Identifier
1992890180
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
30555 Issued in KY
Practice address
333 Bogle St
Somerset, KY 42503-2873
Phone
(606) 678-0705
Fax
(606) 678-2807
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 30555 KY Primary

Addresses

Primary practice location

333 Bogle St
Somerset, KY 42503-2873

Mailing address

333 Bogle St
Somerset, KY 42503-2873
Phone (606) 678-0705

Other identifiers 2

IdentifierTypeStateIssuer
1410006OtherKYMEDICARE UNSPECIFIED
64305550MedicaidKY

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

Interoperability endpoints

  • Direct secure messaging: crosslin.kevin.015.0170014@cfmc.meditab.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1992890180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BOGLE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032873",
            "telephone_number": "606-678-0705",
            "fax_number": "606-678-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BOGLE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032873",
            "telephone_number": "606-678-0705",
            "fax_number": "606-678-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLIN",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "M.D., FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "30555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFIED",
            "identifier": "1410006",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64305550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.