NPI 1477687366 · live from the CMS NPI Registry
Jason T. Crimmins, MD
Radiology, Diagnostic Radiology in Edgewood, KY. National Provider Identifier 1477687366, active.
NPI record
| NPI | 1477687366 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1 Medical Village Dr, Edgewood, KY 41017 |
| Practice phone | 859-301-2160 |
| Mailing address | Po Box 932163, Cleveland, OH 44193 |
| Enumerated | March 15, 2007 |
| Last updated | August 7, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 40134 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.