DR. JONATHAN THOMAS CROCKER (NPI# 1902855323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902855323 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN THOMAS CROCKER |
| Credential | MD |
| Practice Address |
800 Boylston St 47th Floor Boston MA 02199-8001 |
| Practice Telephone | 6177432525 |
| Mailing Telephone | 6177432525 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2009-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 159930 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS MA | J23487 | 01 |
| MA | 0118010 | 05 | |
| MA | TUFTS HEALTH PLAN | 159930 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598138539 | Jonathan William Crocker | Specialist/Technologist | 33 Clarence St Apt 2, Everett, MA 02149-5141 | 2015-11-12 |
| Street Address |
800 BOYLSTON ST 47TH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02199-8001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194383869 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 800 Boylston St, Boston, MA 02199-1900 | 2019-05-29 |
| 1174081855 | Smile Beautiful, Pllc | Clinic/Center | 800 Boylston St, Boston, MA 02199-1900 | 2019-03-12 |
| 1073088241 | And Still We Rise, LLC | Community/Behavioral Health | 800 Boylston St, Floor 16, Boston, MA 02199 | 2018-10-03 |
| 1427575604 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 800 Boylston St, Boston, MA 02199-1900 | 2017-08-28 |
| 1689100943 | Barry J Goldberg Dmd PC | Clinic/Center | 800 Boylston St, Suite 200, Boston, MA 02199-1900 | 2017-05-05 |
| 1114451218 | George W Kay Dmd PC | Clinic/Center | 800 Boylston St, Suite 200, Boston, MA 02199-1900 | 2017-04-14 |
| 1881943561 | Fenway Hearing Conservatory | Audiologist | 800 Boylston St, 16th Floor, Boston, MA 02199-1900 | 2012-09-10 |
| 1871874388 | Michael G. O'toole Dmd | Dentist | 800 Boylston St, 2nd Floor, Boston, MA 02199-8001 | 2011-08-30 |
| 1609155175 | Yael Frydman Dmd PC | Dentist | 800 Boylston St, Suite 200, Boston, MA 02199-8001 | 2011-08-15 |
| 1235440108 | Guzman Dental Partners of Boston, Pllc | Dentist | 800 Boylston St, Boston, MA 02199-8001 | 2010-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568856953 | Dental Delights PC | Dentist | 770 Boylston Street, Apt#4d, Boston, MA 02199 | 2015-03-24 |
| 1811206444 | Amy Boyce | Dietitian, Registered | 800 Boylston St., Fitcorp, Prudential Center, Boston, MA 02199 | 2010-09-30 |
| 1629217807 | Enrico Petrillo | Internal Medicine | Cb Health Ventures, L.L.C., 800 Boylston St . Suite 1585, Boston, MA 02199 | 2009-02-12 |
| 1053465542 | Minaj Naimi | Dentist | 800 Boyston Street, Suite 200, Boston, MA 02199 | 2007-01-22 |
| 1578617163 | Michael O Toole | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-01-22 |
| 1609952555 | Laurie Kaslow | Social Worker | 56 Dimock Street, Roxbury, MA 02199 | 2006-10-31 |
| 1598029084 | Brad Shattuck | Psychiatry & Neurology | 800 Boylston St., 16th Floor, Boston, MA 02199 | 2012-06-28 |
| 1518007392 | Charles M Travring | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-02-08 |
| 1790824985 | Maria E Cardenas | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-02-05 |
| 1144368507 | James H Sowles | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-02-01 |
| Find all providers in zip 02199 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1831726595 | James Dotimas | Internal Medicine | 801 Massachusetts Ave Ste 6c, Boston, MA 02118-2605 | 2020-03-24 |
| 1487291100 | Evolvd Health | Internal Medicine | 85 Brainerd Rd Apt 108, Boston, MA 02134-4529 | 2019-12-01 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| 1699237081 | Steven Lynn St Peter | Internal Medicine | 43 Union Park Apt 2, Boston, MA 02118-3702 | 2019-04-03 |
| 1083174478 | Kevin Stirling | Internal Medicine | Shapiro Primary Care 725 Albany Street, 5b/c Precepting Room, Boston, MA 02118 | 2019-03-21 |
| 1477042737 | Theofanis Kalathas | Internal Medicine | 725 Albany Street, Shapiro 5d6, Boston, MA 02118 | 2018-05-02 |
| 1801309521 | Firefly Health | Internal Medicine | 361 Newbury St Fl 5, Boston, MA 02115-2738 | 2017-11-16 |
| 1104346527 | Jodian Amor Pinkney | Internal Medicine | 55 Fruit St # 130, Boston, MA 02114-2621 | 2017-06-27 |
| 1568982502 | Priyanka Ballal | Internal Medicine | 725 Albany Street, Shapiro 586, Boston, MA 02118-2526 | 2017-06-21 |
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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.