Active NPI
Daniel Lewis Croom
- Dermatology Physician
- Pensacola, FL
National Provider Identifier
1174862916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 28027
- Practice address
- Naval Hospital Pensacola 6000 W Highway 98
Pensacola, FL 32512-0001 - Phone
- (850) 452-5638
- NPI assigned
- Feb 13, 2013
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 28027 | NE | Primary |
Addresses
Primary practice location
Naval Hospital Pensacola 6000 W Highway 98
Pensacola, FL 32512-0001
Mailing address
2005 Knight Land BLDG H
Attn: Medical Staff Services, Navy
Jacksonvile, FL 32212
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28027 | NE | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1174862916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 KNIGHT LAND BLDG H",
"address_2": "ATTN: MEDICAL STAFF SERVICES, NAVY",
"city": "JACKSONVILE",
"state": "FL",
"postal_code": "32212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL PENSACOLA 6000 W HIGHWAY 98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325120001",
"telephone_number": "850-452-5638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOM",
"first_name": "DANIEL",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-13",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NE",
"license": "28027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.