Jonathan Cameron Crooker, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC009554 Issued in PA

Practice address

937 E Haverford Rd
Suite 101
Bryn Mawr, PA 19010-3800

Phone

(610) 520-2490

Fax

(610) 520-2492

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bryn Mawr Wellness LLC

  • Chiropractor
  • Bryn Mawr, PA
  • NPI 1023358918
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1114096211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 E HAVERFORD RD",
            "address_2": "SUITE 101",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103800",
            "telephone_number": "610-520-2490",
            "fax_number": "610-520-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 E HAVERFORD RD",
            "address_2": "SUITE 101",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103800",
            "telephone_number": "610-520-2490",
            "fax_number": "610-520-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKER",
        "first_name": "JONATHAN",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC009554",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "PA",
            "license": "DC009554",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENIFICATION NUMBER",
            "identifier": "273309601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dulia P Cowang, CRNA
• Jocelyn L Craparo, MD
• Pascal Cristofalo
• Julie Cristol, CNM
• William Albert Crockett, DO
• Victoria Crumlish, RN
• Amy Lawser Curran, MD
• Sean C Curran, M.D.
• Ashley Curreri, PA-C
• Susan A Cutler, DMD

• Sports Physician Chiropractor in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Sports Physician Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.