Thermon R. Crocker, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

R-1958 Issued in AR

Practice address

951 N Pembroke Rd
Fayetteville, AR 72701-2522

Phone

(479) 442-9360

NPI assigned

Jan 8, 2007

Last updated

Oct 29, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Fayetteville-Springdale Ear, Nose & Throat Clinic

  • Specialist
  • Fayetteville, AR
  • NPI 1841408788
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1528116233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 N PEMBROKE RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012522",
            "telephone_number": "479-442-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N PEMBROKE RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012522",
            "telephone_number": "479-442-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "THERMON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "R-1958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Pediatric Occupational Therapy, Inc
• Jonathan Dale Edward Creech, MD
• Dolly P Crespo
• Edward R Crews, LPC
• David R Crittenden, M.D.
• Cameron Crockett, OD
• Jenica R Crockett
• Robert David Crockett, FNP
• Christa Margaret Croff, DO
• Karly Crone

• Specialist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.