Active NPI
Howard Nelson Croy, P.A.
- Physician Assistant
- Brookings, OR
National Provider Identifier
1295745875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA153625
- Practice address
- 500 5TH St
Brookings, OR 97415-9702 - Phone
- (541) 412-2000
- Fax
- (541) 412-2081
- NPI assigned
- Aug 8, 2006
- Last updated
- Aug 25, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA153625 | OR | Primary |
| Emergency Medicine Physician | 207P00000X | PA153625 | OR |
Addresses
Primary practice location
500 5TH St
Brookings, OR 97415-9702
Mailing address
94220 4TH St
Gold Beach, OR 97444-7756
Phone (541) 247-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93-0937095 | Other | OR | CURRY HEALTH DISTRICT TAX I.D. |
| 1487696985 | Other | OR | CURRY HEALTH DISTRICT NPI |
| 500605180 | Medicaid | OR | |
| PA12369 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA153625 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vepema Medical Group | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Turlock, CA
- NPI 1356502496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1295745875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94220 4TH ST",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "974447756",
"telephone_number": "541-247-3000",
"fax_number": "541-247-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 5TH ST",
"city": "BROOKINGS",
"state": "OR",
"postal_code": "974159702",
"telephone_number": "541-412-2000",
"fax_number": "541-412-2081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROY",
"first_name": "HOWARD",
"middle_name": "NELSON",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA153625",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "PA153625",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY HEALTH DISTRICT TAX I.D.",
"identifier": "93-0937095",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY HEALTH DISTRICT NPI",
"identifier": "1487696985",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500605180",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA12369",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookings, OR
- Diana Lacy Cooper, CHW
- Costa Clinical Psychology, LLC
- Teresa Ione Costa, PSYD
- County of Curry Brookings Harbor School District 17C (Brookings Harbor School District 17C)
- Kellie Marie Creaser, DNP, PMHNP-BC, FNP-C
- Curry Health District (Curry Medical Center (formerly Brookings Medical Center))
- Curry Health District (Curry Medical Center)
- Dane E. Smith DDS PC
- Ellen Dar, MD
- Nicholas Taylor Deering
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.