Provider Demographics
NPI:1386649101
Name:CRAWFORD, ADAM THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:THOMAS
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2060 READING RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1454
Mailing Address - Country:US
Mailing Address - Phone:513-721-3200
Mailing Address - Fax:513-639-3186
Practice Address - Street 1:20 MEDICAL VILLAGE DRIVE
Practice Address - Street 2:SUITE 302
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-5402
Practice Address - Country:US
Practice Address - Phone:859-341-2510
Practice Address - Fax:859-578-2004
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2015-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY39195207V00000X
OH35. 121252207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100179790Medicaid
KYK083640Medicare PIN
KY0045512Medicare ID - Type UnspecifiedFLORENCE OFFICE
KY7100179790Medicaid
KY0022914Medicare ID - Type UnspecifiedEDGEWOOD OFFICE