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 | 207Q00000X | Family Medicine | | 4290 | OKLAHOMA | 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 |
Other Provider Identifier Issuer |
| 1 | 200116510 A | OTHER | OKLAHOMA | MEDICAID # FOR CROUCH FAMILY MEDICINE (CLINIC) |
| 2 | 200116520 A | OTHER | OKLAHOMA | MEDICAID # FOR JASON CROUCH, D.O. |
| 3 | 200116510A | MEDICAID | OKLAHOMA | |
| 4 | DG9878 | OTHER | | RAILROAD MEDICARE PT B GROUP NUMBER |
| 5 | 300522328 | MEDICARE PIN | | |
| 6 | P00465778 | MEDICARE PIN | | |
| 7 | P00465778 | OTHER | | RAILROAD MEDICARE PT B PTAN |
| 8 | 243722101 | MEDICARE PIN | | |
| 9 | 37D1067992 | OTHER | | CLIA # FOR CROUCH FAMILY MEDICINE LAB (CLIA-WAIVED LAB) |
| 10 | 6147210001 | MEDICARE NSC | | |
| 11 | 1609093228 | OTHER | | NPI FOR CROUCH FAMILY MEDICINE PC (ORGANIZATION NPI) |
| 12 | 1618242 | OTHER | | COVENTRY HEALTH CARE PROVIDER ID # |
| 13 | 243722101 | OTHER | | MEDICARE # FOR JASON CROUCH, D.O. |
| 14 | 4474235 | OTHER | | CIGNA HEALTHCARE PROVIDER # |
| 15 | 200116520A | MEDICAID | OKLAHOMA | |
| 16 | DG9878 | MEDICARE PIN | | |
| 17 | 6147210001 | OTHER | | DURABLE MEDICAL EQUIPMENT (DME) PTAN |
| 18 | 1497890115 | OTHER | | NPI FOR JASON CROUCH, D.O. |
| 19 | 208582792 | OTHER | | CLINIC TAX ID NUMBER |
| 20 | 300522328 | OTHER | | MEDICARE # FOR CROUCH FAMILY MEDICINE (CLINIC) |
| 21 | 9060050 | OTHER | | AETNA PIN |