DR. THERMON R. CROCKER (NPI# 1528116233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528116233 |
| Entity Type | Individual |
| Full Name | DR. THERMON R. CROCKER |
| Credential | MD |
| Practice Address |
951 N Pembroke Rd Fayetteville AR 72701-2522 |
| Practice Telephone | 4794429360 |
| Mailing Telephone | 4794429360 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R-1958 | AR | Other Service Providers |
| Street Address |
951 N PEMBROKE RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72701-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1407204217 | Kenna Megan Hodeaux | Specialist/Technologist | 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 | 2016-06-02 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| Find all providers in zip 72701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1194203075 | Dominique A Hunter | Specialist | 100 Hay St Fl 6, Fayetteville, NC 28301-5676 | 2018-08-01 |
| 1699286260 | Carla Jai Simmons | Specialist | 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296 | 2017-10-23 |
| 1952825838 | Mary L Hill | Specialist | 185 Thornton Dr., Fayetteville, GA 30214 | 2017-08-01 |
| 1295288215 | Jillian Diffenbaugh | Specialist | 1019 Hay St, Fayetteville, NC 28305-5315 | 2016-07-26 |
| 1437534633 | Mark Hinton | Specialist | 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 | 2015-07-29 |
| 1841600830 | Trimana LLC | Specialist | 2875 E Joyce Blvd, Fayetteville, AR 72703-4524 | 2014-04-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72701 |
Please comment or provide details below to improve the information on DR. THERMON R. CROCKER.
| 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.