DR. JOHN E CROOM (NPI# 1952352908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952352908 |
| Entity Type | Individual |
| Full Name | DR. JOHN E CROOM |
| Credential | MD |
| Practice Address |
4400 Broadway Suite 520 Kansas City MO 64111-3498 |
| Practice Telephone | 8165314080 |
| Practice Fax Number | 8165310281 |
| Mailing Telephone | 8165314080 |
| Mailing Fax Number | 8165310281 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2015-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
04-31775 | KS | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2006004083 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 36305017 | 01 | |
| MO | 200644508 | 05 | |
| AETNA | 7438509 | 01 | |
| KS | 200381380B | 05 | |
| KS | 200381380A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356315923 | John A Croom | Emergency Medicine | 1834 Sw 1st Ave, Suite 201, Ocala, FL 34474-5100 | 2006-02-13 |
| Street Address |
4400 BROADWAY SUITE 520 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205703 | Michael M Vesali | Psychiatry & Neurology | 4400 Broadway, Ste. 520, Kansas City, MO 64111-3498 | 2005-06-17 |
| 1194357129 | Catherine Pogson Lewis | Nurse Practitioner | 4400 Broadway, Suite 206, Kansas City, MO 64111 | 2020-02-07 |
| 1861938102 | Dawn Ferguson | Nurse Practitioner | 4400 Broadway, Suite 540, Kansas City, MO 64111 | 2017-01-10 |
| 1598214306 | Children's Mercy-pediatric Associates | Pediatrics | 4400 Broadway, Suite 206, Kansas City, MO 64111-3498 | 2016-09-22 |
| 1982056537 | Allison White | Pharmacist | 4400 Broadway, Suite 106, Kansas City, MO 64111-3498 | 2016-07-07 |
| 1225499031 | Kayla Kjelshus | Nurse Practitioner | 4400 Broadway, Suite 500, Kansas City, MO 64111-3498 | 2016-03-08 |
| 1053778787 | Kelly Bush | Nurse Practitioner | 4400 Broadway, Suite 520, Kansas City, MO 64111-3498 | 2016-01-26 |
| 1194180158 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4400 Broadway, Suite 302, Kansas City, MO 64111-3498 | 2015-12-17 |
| 1215308762 | Lyndsay Kiely | Nurse Practitioner | 4400 Broadway, Suite#206, Kansas City, MO 64111-3498 | 2015-10-09 |
| 1891165296 | Meagan Reighard | Nurse Practitioner | 4400 Broadway, Ste. 520, Kansas City, MO 64111-3498 | 2015-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665957 | Green Ring LLC | Psychiatry & Neurology | 7611 State Line Rd Ste 130, Kansas City, MO 64114-1696 | 2020-10-08 |
| 1225547722 | Nikita M Maniar | Psychiatry & Neurology | 2301 Holmes St Dept Of, Kansas City, MO 64108-2640 | 2017-09-27 |
| 1124446406 | Amanda Jean Thuringer | Psychiatry & Neurology | Kansas University Medical Center Department, 3599 Rainbow Blvd., Mailstop 2012, Kansas City, KS 66160-0001 | 2014-04-02 |
| 1194080127 | Ashish Kulhari | Psychiatry & Neurology | 2330 E Meyer Blvd Ste 202, Kansas City, MO 64132-1132 | 2012-07-05 |
| 1659688646 | Rawan Albadareen | Psychiatry & Neurology | 3901 Rainbow Blvd # 1033, Kumc, Kansas City, KS 66160-2741 | 2010-09-12 |
| 1841447810 | Sarah Kathryn Gibbons | Psychiatry & Neurology | 4400 Broadway Blvd, Ste 520, Kansas City, MO 64111 | 2008-08-21 |
| 1770609216 | Maria Lourdes Ilagan Donato | Psychiatry & Neurology | 5811 E Truman Rd, Kansas City, MO 64126-2400 | 2007-03-22 |
| 1689791196 | Michael George Abraham | Psychiatry & Neurology | 3901 Rainbow Blvd Dpt of Neurology, Kansas City, KS 66160 | 2007-03-22 |
| 1801973813 | Parveen Kumar Khosla | Psychiatry & Neurology | 1000 Carondelet Dr Ste 200, Kansas City, MO 64114 | 2006-11-01 |
| 1932144573 | Mazen M Dimachkie | Psychiatry & Neurology | 3599 Rainbow Blvd # Ms 2012, Kansas City, KS 66103-2078 | 2006-06-18 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on DR. JOHN E CROOM.
| 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.