Provider Demographics
NPI:1497757868
Name:CRAWFORD, J ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:ERIC
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-0188
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:740-775-7855
Practice Address - Street 1:1049 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1104
Practice Address - Country:US
Practice Address - Phone:740-773-4366
Practice Address - Fax:740-775-7855
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35064944C207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH311155352OtherPPO NEXT
OH0101911OtherUNITED HEALTHCARE
OH0929393Medicaid
OH4545818OtherAETNA
311155352OtherCENTRAL BENEFITS
OH311155352OtherEMERALD HEALTH
OH000000118707OtherANTHEM
311155352001OtherTRICARE
OH311155352OtherEV BENEFITS
311155352OtherNATIONWIDE
311155352OtherCIGNA
311155352OtherOHIO HEALTH CHOICE
311155352OtherGREAT WEST
311155352OtherCENTRAL BENEFITS
311155352OtherCIGNA