DR. JOHN CROASDELL (NPI# 1497794606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497794606 |
| Entity Type | Individual |
| Full Name | DR. JOHN CROASDELL |
| Credential | MD |
| Practice Address |
1451 N Gardner St Phoenix Emergency Services of Scott County, LLC Scottsburg IN 47170-7751 |
| Mailing Address |
1471 Mallard Xing Scottsburg IN 47170-7493 |
| Practice Telephone | 8127523456 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2008-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01042107A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE CORE | 237840 | 01 |
| Street Address |
1451 N GARDNER ST PHOENIX EMERGENCY SERVICES OF SCOTT COUNTY, LLC |
| City | SCOTTSBURG |
| State | IN |
| Zip Code | 47170-7751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154396604 | Scott County Memorial Hospital | General Acute Care Hospital | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-02-20 |
| 1386088326 | Rhn Scott Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2013-04-22 |
| 1831435247 | Rhn Scott Memorial Hospital LLC | Anesthesiology | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2012-12-13 |
| 1013251594 | Rhn Scott Memorial Hospital LLC | General Acute Care Hospital | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2012-11-21 |
| 1952639890 | Scott Physician Group LLC | Anesthesiology | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2009-12-04 |
| 1700114824 | Illinois/indiana Em-i Medical Services, Sc | Nurse Practitioner | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2009-12-01 |
| 1497883367 | Scott Memorial Hospital | Anesthesiology | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2007-03-01 |
| 1114950581 | Bio-medical Applications of Indiana, Inc. | Clinic/Center | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-07-09 |
| 1568404515 | Martin William Brooks | Emergency Medicine | 1451 N Gardner St, Phoenix Emergency Services of Scott County, LLC, Scottsburg, IN 47170-7751 | 2006-06-12 |
| 1740235936 | Dsi Renal Inc | Clinic/Center | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962065565 | Mfdc of Indiana, Inc | Dentist | 1606 W Mcclain Ave, Scottsburg, IN 47170 | 2019-04-18 |
| 1003211392 | Forefront Dermatology, S.c. | Dermatology | 1473 N Gardner St Ste A, C/o Scott Memorial Hospital, Scottsburg, IN 47170 | 2014-10-29 |
| 1154750800 | Kimberly Burns | Occupational Therapy Assistant | 545 W. Moonglo Rd, Scottsburg, IN 47170 | 2013-11-04 |
| 1700127800 | Janet M Buhse Md PC | Family Medicine | 941 W Mcclain Ave Ste C, Scottsburg, IN 47170 | 2013-03-14 |
| 1972826402 | Harold H Rumley | Counselor | 75 North First Street, Scottsburg, IN 47170 | 2010-03-11 |
| 1245497213 | Samaritan Behavioral Healthcare | Counselor | 969 W Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-05-19 |
| 1801061858 | Gardner Street Emergency Physicians | Emergency Medicine | 1451 N. Gardner Street, Scottsburg, IN 47170 | 2008-04-29 |
| 1689859621 | Samaritan Behavioral Healthcare | Counselor | 969 W. Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-01-09 |
| 1760674998 | Darshana Patel | Internal Medicine | 1467 Scott Valley Dr, Scottsburg, IN 47170 | 2007-08-12 |
| 1669663977 | Wwindell Go Ellorimo | Physical Therapist | 545 Moonglo Rd, Scottsburg, IN 47170 | 2007-08-05 |
| Find all providers in zip 47170 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801061858 | Gardner Street Emergency Physicians | Emergency Medicine | 1451 N. Gardner Street, Scottsburg, IN 47170 | 2008-04-29 |
| 1568452696 | Shane A Avery | Emergency Medicine | 1469 North Gardner, Scottsburg, IN 47170-0290 | 2005-10-28 |
| 1568404515 | Martin William Brooks | Emergency Medicine | 1451 N Gardner St, Phoenix Emergency Services of Scott County, LLC, Scottsburg, IN 47170-7751 | 2006-06-12 |
| 1295784379 | Phoenix Emergency Services of Scott County LLC | Emergency Medicine | 1451 N Gardner St, Phoenix Emergency Services of Scott County LLC, Scottsburg, IN 47170-7751 | 2006-05-08 |
| 1396703062 | Scottsburg Emergency Services, LLC | Emergency Medicine | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-05-03 |
| 1609850403 | Mark Edward Manship | Emergency Medicine | 1366 N Gardner St, Ste 140, Scottsburg, IN 47170 | 2005-12-05 |
| 1902800824 | Larry Ray Hunefeld | Emergency Medicine | 1441 N Gardner St, Scottsburg, IN 47170-7751 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358255 | Vyvian Charlene Lawrence | Emergency Medicine | 5939 W Lincoln Hwy, Crown Point, IN 46307-9604 | 2020-08-28 |
| 1508358128 | Antonino Bucca | Emergency Medicine | 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 | 2018-05-30 |
| 1124518931 | Evan Mitchell Landry Tomkiewicz | Emergency Medicine | 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 | 2018-05-16 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1154777613 | Michael J Bojrab | Emergency Medicine | 6720 Kirkdale Dr, Fort Wayne, IN 46815-5524 | 2016-05-13 |
| 1114307063 | Grant Fabian Chernoby | Emergency Medicine | 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 | 2015-06-05 |
| 1457730830 | Patrick Lee Studtman | Emergency Medicine | 615 N. Michigan Street, Emergency Department, South Bend, IN 46601-1033 | 2015-05-19 |
| 1861888430 | Enola Okonkwo | Emergency Medicine | 9785 Valley Springs Blvd, Fishers, IN 46037-8764 | 2015-04-10 |
| 1518355882 | Marlin R. Gray | Emergency Medicine | 925 N. County Rd., 1100e, Otwell, IN 47564 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBURG |
| Zip Code | 47170 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.