JASON WESLEY CROCKETT (NPI# 1922543131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922543131 |
| Entity Type | Individual |
| Full Name | JASON WESLEY CROCKETT |
| Credential | MSN, FNP-C |
| Practice Address |
20 Duke Medicine Circle Duke Cancer Center Clinic 5-1 Durham NC 27710 |
| Mailing Address |
905 Lasalle Street Gsrb1 - 3017 Dumc 103861 Durham NC 27710-4070 |
| Practice Telephone | 9196688108 |
| Mailing Telephone | 9196688108 |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 250967 | NC | Nursing Service Providers |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
5009668 | NC | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5009668 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1490 Williamsboro St, Oxford, NC 27565 | 9197295704 | |
| 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710 | 9196688108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821075375 | Jason Mitchell Crockett | Chiropractor | 733 W Kearney St, Springfield, MO 65803-1229 | 2005-12-27 |
| 1497995245 | Jason Robert Crockett | Physician Assistant | 7431 Nw Loop 410 Ste 109, San Antonio, TX 78245-3597 | 2009-03-05 |
| 1932300308 | Jason E Crockett | Optometrist | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2007-05-31 |
| Street Address |
20 DUKE MEDICINE CIRCLE DUKE CANCER CENTER CLINIC 5-1 |
| City | DURHAM |
| State | NC |
| Zip Code | 27710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174942262 | Kristen Leigh Perez | Internal Medicine | 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710-4699 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730658808 | Laura Kolker Max | Internal Medicine | 2301 Erwin Road Unit 9300, Durham, NC 27710-2621 | 2018-11-19 |
| 1396249256 | Deanna Andrews Griffie | Internal Medicine | 20 Medicine Circle Duke Cancer Center Clinic 3-2, Durham, NC 27710-0001 | 2018-03-23 |
| 1558885004 | Casey Marie Mozingo | Internal Medicine | 20 Duke Medicine Circle Duke Cancer, Durham, NC 27710-0001 | 2017-07-26 |
| 1174942262 | Kristen Leigh Perez | Internal Medicine | 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710-4699 | 2014-04-16 |
| 1851739239 | Jingquan Jia | Internal Medicine | 20 Duke Medicine Drive, Durham, NC 27710 | 2013-06-07 |
| 1861759391 | Wayne Dewitt Brenckman Jr. | Internal Medicine | 5632 Denwood Ln, Durham, NC 27705-9252 | 2012-04-22 |
| 1023119534 | Carin Adams Caves | Internal Medicine | Duke University Hospital, 9300 Inpatient Unit, 2301 Erwin Rd, Durham, NC 27710-2121 | 2006-09-26 |
| 1184694754 | Gerard C Blobe | Internal Medicine | Box 2631 Dumc, Durham, NC 27710-0001 | 2006-01-25 |
| 1982265369 | Rachel Pienknagura | Internal Medicine | 20 Duke Medicine Cir, Durham, NC 27710-2000 | 2019-06-26 |
| 1568875326 | Joseph Dixon Purvis IIi | Internal Medicine | 4819 Emperor Blvd, Suite 400, Durham, NC 27703-5420 | 2014-06-09 |
| Find all providers in DURHAM | ||||
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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.