DR. ROBERT D CRAWFORD MD NPI 1336179449

NPI Information

NPI: 1336179449
Provider Name: DR. ROBERT D CRAWFORD, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Address:
5405 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
Phone: (309) 691-4410
Get Directions

DR. Robert D Crawford, MD is an interventional cardiology internal medicine in Peoria, IL. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Robert D Crawford, MD NPI is 1336179449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5405 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
Phone: (309) 691-4410
Fax: (309) 589-2830

The enumeration date for this NPI number is 7/4/2006 and was last updated on 9/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	036061108	ILLINOIS	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	036061108	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	036061108	MEDICAID	ILLINOIS
2	L28119	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
3	C39807	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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