KEITH H CRAWFORD (NPI# 1124108790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124108790 |
| Entity Type | Individual |
| Full Name | KEITH H CRAWFORD |
| Credential | M.D |
| Practice Address |
2421 Broadway St Paducah KY 42001-7115 |
| Practice Telephone | 2704506217 |
| Practice Fax Number | 2704506731 |
| Mailing Telephone | 2704428272 |
| Mailing Fax Number | 2704440539 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
21534 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE FDA # | 150821 | 01 |
| KY | RR MEDICARE | 300019109 | 01 |
| KY | AETNA | 4368224 | 01 |
| KY | 64215346 | 05 | |
| KY | BCBS | 000000068646 | 01 |
| KY | UHC | 1600014 | 01 |
| KY | HEALTHLINK | 193333 | 01 |
| KY | CCN | 5128682 | 01 |
| KY | TRICARE | K004228 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649343682 | Keith Scott Crawford | Dentist | 3850 Holcomb Bridge Road, Suite 230, Norcross, GA 30092 | 2006-11-16 |
| 1700178944 | Keith Crawford | Rehabilitation Practitioner | 2095 Longley Ln, Reno, NV 89502-7117 | 2011-05-06 |
| 1760606289 | Keith Crawford | Case Manager/Care Coordinator | 121 N Lake St, Madera, CA 93638 | 2007-04-13 |
| Street Address |
2421 BROADWAY ST |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-7115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477633139 | Gershom Lundberg | Radiology | 2421 Broadway St, Paducah, KY 42001-7115 | 2006-10-17 |
| 1336229947 | Lundberg Medical Imaging Psc | Radiology | 2421 Broadway St, Paducah, KY 42001-7115 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205078987 | John Thomas Ruxer | Radiology | 4645 Village Square Dr Ste C, Paducah, KY 42001-7448 | 2009-03-27 |
| 1487822474 | Diagnostic Imaging Consultants, Ltd | Radiology | 2841 Lone Oak Rd, Paducah, KY 42003-8041 | 2008-02-13 |
| 1477633139 | Gershom Lundberg | Radiology | 2421 Broadway St, Paducah, KY 42001-7115 | 2006-10-17 |
| 1144216300 | James D Vanhoose | Radiology | 3160 Parisa Dr, Paducah, KY 42003-4514 | 2005-09-23 |
| 1962498113 | Robert A Garneau | Radiology | 2725 James Sanders Blvd Ste A, Paducah, KY 42001-8405 | 2005-09-23 |
| 1437596707 | Scott Thomas Mcelroy | Radiology | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2013-05-28 |
| 1427317254 | Allison Price Simons | Radiology | 1530 Lone Oak Rd, Paducah, KY 42003 | 2012-05-14 |
| 1669606745 | Adrian Marie Miller | Radiology | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2009-05-05 |
| 1396945747 | Joseph Alan Lambert II | Radiology | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2007-07-24 |
| 1336229947 | Lundberg Medical Imaging Psc | Radiology | 2421 Broadway St, Paducah, KY 42001-7115 | 2006-10-17 |
| Find all providers in PADUCAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.