Individual
DR. NICHOLAS E CROSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260-2046
(317) 875-9105
(317) 872-6873
Mailing address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260-2046
(317) 875-9105
(317) 808-8802
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01072698A
IN
207X00000X
Orthopaedic Surgery Physician
MT193321
PA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01072698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000881662
ANTHEM PROVIDER NUMBER
IN
01
—
000000941179
ANTHEM PROVIDER NUMBER - HAND SURGERY
IN
01
—
201178720
MEDICAID HAND SURGERY
IN
05
—
201178720
—
IN
Enumeration date
05/30/2008
Last updated
04/01/2024
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