John David Crecca, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

5590A Issued in WY

Practice address

255 N 30TH St
Laramie, WY 82072

Phone

(307) 742-2141

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Anesthesia Associates of Laramie LLC

  • Anesthesiology Physician
  • Laramie, WY
  • NPI 1548364888
  Medicare reassignment NPD Authorized official
• High Plains General Surgery Inc

  • Surgery Physician
  • Laramie, WY
  • NPI 1912098211
  NPD (past)
• Ncap Imh, LLC

  • Anesthesiology Physician
  • Fort Collins, CO
  • NPI 1093478075
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1477657716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM DR",
            "address_2": "SUITE 101",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705151",
            "telephone_number": "307-745-6065",
            "fax_number": "307-745-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 30TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82072",
            "telephone_number": "307-742-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRECCA",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WY",
            "license": "5590A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115250500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Coyne
• Jared Craig
• Anna Cramer
• Michelle Rae Crandall
• Scott Crane
• Critical Perinatal Solutions P.C.
• Olivia Croft
• Alexander Crook
• Linda K Cross
• Megan Crow

• Anesthesiology Physician in Laramie, WY
• Providers in Laramie, WY by specialty
• Anesthesiology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.