John A Crouch, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

34746 Issued in MO

Practice address

200 Saint Marys Medical PLZ
Suite 203
Jefferson City, MO 65101-1604

Phone

(573) 761-7243

Fax

(573) 761-7196

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/gemms-mis01

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Missouri Cardiovascular Specialists

  • Cardiovascular Disease Physician
  • Columbia, MO
  • NPI 1407841703

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1003845405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SAINT MARYS MEDICAL PLZ",
            "address_2": "SUITE 203",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651011604",
            "telephone_number": "573-761-7243",
            "fax_number": "573-761-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT MARYS MEDICAL PLZ",
            "address_2": "SUITE 203",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651011604",
            "telephone_number": "573-761-7243",
            "fax_number": "573-761-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "34746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200582252",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melony Crayton, M.ED, PLPC, NCC
• Amanda Louise Creamer, NP
• Leigh Anne Crede
• Ti'Ashanay M Criddle, LMSW
• Deborah Crider
• Kenneth Graham Crutchfield, O.D.
• Beverly Cummings, LPN
• Curators of the University of Missouri
• Curators of the University of Missouri
• Curators of the University of Missouri

• All providers in Jefferson City, MO
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.