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Dr. William D Crecelius

Emergency Physician General Practice Physician

1720 W Broadway Ste 107
Louisville , Kentucky 40203-3607

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Dr. William D Crecelius

Emergency Physician General Practice Physician

1720 W Broadway Ste 107
Louisville , Kentucky 40203-3607

(502) 272-5116

Write a Review Save Call

Dr. William D Crecelius

Emergency Physician General Practice Physician

1720 W Broadway Ste 107
Louisville , Kentucky 40203-3607

(502) 272-5116 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Physician
  • General Practice Physician

Languages spoken

  • English

Location

1720 W Broadway Ste 107 Louisville , Kentucky 40203-3607

First Address

  • Dr. William D Crecelius
  • Po Box 776351
  • Chicago, IL
  • Zip : 60677-6351
  • Fax : (502) 272-5116
  • Phone : (502) 588-9490

Second Address

  • Dr. William D Crecelius
  • 1720 W Broadway Ste 107
  • Louisville, KY
  • Zip : 40203-3607
  • Fax : (502) 394-3691
  • Phone : (502) 340-5900

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FAQs


Where did Dr. William D Crecelius attend graduate school?

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Where did Dr. William D Crecelius do his residency?

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Where did Dr. William D Crecelius do his fellowship?

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Is Dr. William D Crecelius board certified?

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What type of doctor is Dr. William D Crecelius

General Practice Physician

In what state does Dr. William D Crecelius practice in?

Kentucky

Where is Dr. William D Crecelius ’s practice located?

1720 W Broadway Ste 107 , Louisville, Kentucky, 40203-3607

What is Dr. William D Crecelius ’s gender?

Male

Is Dr. William D Crecelius a sole practitioner?

No

Is Dr. William D Crecelius accepting new patients?

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What languages does Dr. William D Crecelius speak?

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Does Dr. William D Crecelius accept insurance?

Yes, Dr. William D Crecelius accepts insurance

Does Dr. William D Crecelius offers telemedicine?

Dr. William D Crecelius has not indicated if he offers telemedicine

What is Dr. William D Crecelius ’s professional license number?

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What is Dr. William D Crecelius ’s NPI number?

1003828633

Does Dr. William D Crecelius have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207P00000X Emergency Physician 28795 KY
Y 208D00000X General Practice Physician 28795 KY

National Provider Identifier

NPI 1003828633
Provider Name Dr. William D Crecelius
First Address Chicago, IL 60677-6351
Second Address Louisville, KY 40203-3607
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 12/08/2006
Last Update Date 13/10/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000000048676 ANTHEM (01) KY
10523140 PASSPORT (01) KY
200009610 (05) IN
2433207000 PASSPORT ADVANTAGE (01) KY
64287956 (05) KY
F40220 (02) KY

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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