Active NPI
James C Croom, M.D.
- Internal Medicine Physician
- Mountain Home, AR
National Provider Identifier
1013961994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C6073
- Practice address
- 230 Highway 5 N Ste 20
Mountain Home, AR 72653-3031 - Phone
- (870) 425-6212
- Fax
- (870) 508-6896
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C6073 | AR | Primary |
Addresses
Primary practice location
230 Highway 5 N Ste 20
Mountain Home, AR 72653-3031
Mailing address
230 Highway 5 N Ste 20
Mountain Home, AR 72653-3031
Phone (870) 425-6212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101997001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6073 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1013961994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 HIGHWAY 5 N STE 20",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533031",
"telephone_number": "870-425-6212",
"fax_number": "870-508-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HIGHWAY 5 N STE 20",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533031",
"telephone_number": "870-425-6212",
"fax_number": "870-508-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOM",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "C6073",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101997001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.