Gretchen L. Cromer, MD PC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

Legal business name

GRETCHEN L. CROMER, MD PC

Practice address

3302 41St St
Moline, IL 61265-7830

Phone

(309) 764-3912

Fax

(309) 736-1804

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gretchen L Cromer, MDNPI 1659349751

Title

President

Phone

(309) 764-3912

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gretchen L Cromer, MD

  • Psychiatry Physician
  • Iron Mountain, MI
  • NPI 1659349751
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174739122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657830",
            "telephone_number": "309-764-3912",
            "fax_number": "309-736-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657830",
            "telephone_number": "309-764-3912",
            "fax_number": "309-736-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN L. CROMER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROMER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-764-3912",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prescribing (Medical) Psychologist in Moline, IL
• Providers in Moline, IL by specialty
• Prescribing (Medical) Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.