# MAXWELL RYAN CRETCHER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255863973
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | 02007569A | IN | — |
| 2085R0202X | Diagnostic Radiology Physician | 05714 | KY | — |
| 2085R0202X | Diagnostic Radiology Physician | 22922 | CA | — |
| 2085R0202X | Diagnostic Radiology Physician | 327321 | NY | — |
| 2085R0202X | Diagnostic Radiology Physician | 340302 | LA | — |
| 2085R0202X | Diagnostic Radiology Physician | 5101027923 | MI | — |
| 2085R0202X | Diagnostic Radiology Physician | 98314 | GA | — |
| 2085R0202X | Diagnostic Radiology Physician | DO193580 | OR | — |
| 2085R0202X | Diagnostic Radiology Physician | DO2025-0007 | NM | — |
| 2085R0202X | Diagnostic Radiology Physician | OP61510497 | WA | — |
| 2085R0202X | Diagnostic Radiology Physician | OS20752 | FL | — |
| 2085R0202X | Diagnostic Radiology Physician | U6937 | TX | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | DO193580 | OR | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | U6937 | TX | Yes |

## Other

- **Enumeration date:** 03/31/2017
- **Last updated:** 05/01/2026