Active NPI
Dorwyn Wayne Croom II, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Morganton, NC
National Provider Identifier
1346202157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 23371
- Practice address
- 2201 S Sterling St
Morganton, NC 28655-4044 - Phone
- (828) 580-6117
- Fax
- (828) 580-6109
- NPI assigned
- Apr 5, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 23371 | NC | Primary |
Addresses
Primary practice location
2201 S Sterling St
Morganton, NC 28655-4044
Mailing address
PO Box 52990
Greenwood, SC 29649-0048
Phone (864) 223-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11307 | Other | NC | BCBS # |
| 8926222 | Medicaid | NC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23371 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
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 and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Morganton, NC
- NPI 1568425262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1346202157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52990",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296490048",
"telephone_number": "864-223-3600",
"fax_number": "864-223-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S STERLING ST",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554044",
"telephone_number": "828-580-6117",
"fax_number": "828-580-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOM",
"first_name": "DORWYN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "23371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "11307",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8926222",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.