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NPI Code Detail

MEDICARE: DR. J ERIC CRAWFORD M.D.

MEDICARE: DR. J ERIC CRAWFORD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35064944COH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1311155352OTHEROHPPO NEXT
20101911OTHEROHUNITED HEALTHCARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
44545818OTHEROHAETNA
5311155352OTHERCENTRAL BENEFITS
6311155352OTHEROHEMERALD HEALTH
7000000118707OTHEROHANTHEM
8311155352001OTHERTRICARE
9311155352OTHEROHEV BENEFITS
10311155352OTHERNATIONWIDE
11311155352OTHERCIGNA
12311155352OTHEROHIO HEALTH CHOICE
13311155352OTHERGREAT WEST

General Provider Information

NPI Number : 1497757868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. J ERIC CRAWFORD M.D.
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-0188
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-775-7855
Provider Business Practice Location Address
First Line : 1049 WESTERN AVE
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-1104
Country : US
Telephone Number : 740-773-4366
Fax Number : 740-775-7855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 08/24/2021

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