DAVID A CROCKER MD NPI 1760481816

NPI Information

NPI: 1760481816
Provider Name: DAVID A CROCKER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
6325 DIGITAL WAY
SUITE 480
INDIANAPOLIS, IN
ZIP 46278
Phone: (317) 275-5005
Get Directions

David A Crocker, MD is a diagnostic radiology radiology in Indianapolis, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. David A Crocker, MD NPI is 1760481816. 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:

6325 DIGITAL WAY
SUITE 480
INDIANAPOLIS, IN
ZIP 46278-678
Phone: (317) 275-5005

The enumeration date for this NPI number is 7/20/2005 and was last updated on 7/9/2007.

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	2085R0202X	Radiology	Diagnostic Radiology	20805	WEST VIRGINIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	01062616A	INDIANA	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	CR4111351	MEDICARE PIN	WEST VIRGINIA
2	G68988	MEDICARE UPIN
3	1760481816	MEDICAID	INDIANA
4	1812489000	MEDICAID	WEST VIRGINIA
5	000000501707	OTHER	INDIANA	ANTHEM

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

NPI Synchronization or Removal

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