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DR. JAMES M CROAK INC. NPI 1487713400


NPI Information

NPI: 1487713400
Provider Name: DR. JAMES M CROAK, INC.
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Address:
28442 E RIVER RD STE 111
PERRYSBURG, OH
ZIP 43551
Phone: (419) 893-7134
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DR. JAMES M CROAK, INC. is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Perrysburg, OH. The provider is a subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. JAMES M CROAK, INC. NPI is 1487713400. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

28442 E RIVER RD STE 111
PERRYSBURG, OH
ZIP 43551-795
Phone: (419) 893-7134
Fax: (419) 893-6942

The provider's authorized official is Andrew J. Croak .
The authorized official title is Owner and has the following contact phone number (419) 893-7134.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 3/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery34-00-6843-COHIOYes
2207VG0400XObstetrics & GynecologyGynecologyOHIONo
3208800000XUrologyOHIONo
4363LW0102XNurse PractitionerWomen's Health07610-NPOHIONo
5363LW0102XNurse PractitionerWomen's HealthNP-01213OHIONo
6363LX0001XNurse PractitionerObstetrics & GynecologyCOA-16001OHIONo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12476815MEDICAIDOHIO

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: 11/14/2023

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