Active NPI
Jared Allen Crothers, M.D.
- Otolaryngology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME155474
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-2502 - Phone
- (352) 273-5199
- Fax
- (352) 392-6781
- NPI assigned
- Jun 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 46624 | TN | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 0101282293 | VA | |
| Otolaryngology Physician | 207Y00000X | ME155474 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-2502
Mailing address
PO Box 100264
Gainesville, FL 32610-0264
Phone (352) 273-5199
Other practice location 1
895 City Center Blvd Ste 152
Newport News, VA 23606-3080
Phone (757) 599-5505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Medical University of South Carolina College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
895 City Ctr Blvd
Suite 152
Newport News, VA 23606-3080
Phone (757) 599-5505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME155474 | FL | MD | Otolaryngology Physician |
| 46624 | TN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Otolaryngology | Current | Accepting new patients |
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients |
Locations
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167
300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102
895 City Center Blvd
Ste 152
Newport News, VA 23606
Phone (757) 599-5505
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
Interoperability endpoints
- jcrothers264546@direct.rivhs.com
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Surgery Physician
- Chesapeake, VA
- NPI 1699940270
-
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1255215133
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
Otolaryngology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1104052042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100264",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100264",
"telephone_number": "352-273-5199",
"fax_number": "352-392-6781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326102502",
"telephone_number": "352-273-5199",
"fax_number": "352-392-6781"
}
],
"practiceLocations": [
{
"address_1": "895 City Center Blvd Ste 152",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236063080",
"country_code": "US",
"telephone_number": "757-599-5505",
"fax_number": "757-599-3618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROTHERS",
"first_name": "JARED",
"middle_name": "ALLEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-05",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "46624",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "VA",
"license": "0101282293",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME155474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.