Gordon Johnson Crozier, DO

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

OS11510 Issued in FL

Practice address

1307 S International Pkwy
Suite 2071
Lake Mary, FL 32746-1413

Phone

(606) 776-7707

Fax

(407) 732-7669

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265529200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S INTERNATIONAL PKWY",
            "address_2": "2071",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461413",
            "telephone_number": "606-776-7707",
            "fax_number": "407-732-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S INTERNATIONAL PKWY",
            "address_2": "SUITE 2071",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461413",
            "telephone_number": "606-776-7707",
            "fax_number": "407-732-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROZIER",
        "first_name": "GORDON",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "OS11510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DO0000001336",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582636039",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Crandell
• Wendy Elizabeth Crane, ED.S., LMFT
• Creative Counseling PA
• Crescent Therapy and Assessment Services, LLC
• Pamela Ann Crew, MA CCC-SLP
• Maggie Cruciata, RDH
• Christa Lynn Crull
• James M Crumb, M.D.
• Laisa Michelle Cruz Santiago, MA
• Diana Cruz

• Public Health & General Preventive Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.