Active NPI
Robert D McCroskey, M.D.
- Hematology & Oncology Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD00028658
- Practice address
- 2920 South Meridian
Suite 100
Puyallup, WA 98373-1428 - Phone
- (253) 841-4296
- Fax
- (253) 841-2435
- NPI assigned
- Sep 26, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD00028658 | WA | Primary |
Addresses
Primary practice location
2920 South Meridian
Suite 100
Puyallup, WA 98373-1428
Mailing address
1624 South I Street
Suite 305
Tacoma, WA 98405-5093
Phone (253) 428-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99334 | Other | WA | L AND I |
| 1067685 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00028658 | WA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Northwest Medical Specialties PLLC | Current | Accepting new patients | |
| Rainier Oncology Professional Services | Past | Accepting new patients | |
| Northwest Medical Specialties Pharmacy | Past | Accepting new patients |
Locations
1427 Jefferson Ave
Ste 201
Enumclaw, WA 98022
Phone (360) 802-7933
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
11511 Canterwood Blvd
Ste 45
Gig Harbor, WA 98332
Phone (253) 426-4772
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
400 15th Ave SE
Ste D
Puyallup, WA 98372
Phone (253) 697-4823
2940 S Meridian
Ste 200
Puyallup, WA 98373
2920 S Meridian
Ste 100
Puyallup, WA 98373
Phone (253) 604-4599
1624 S I St
Ste 305
Tacoma, WA 98405
Organizations & group practices 6
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Multi-Specialty Clinic/Center
- Tacoma, WA
- NPI 1548261308
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Auburn, WA
- NPI 1861872178
-
- Clinic Pharmacy
- Tacoma, WA
- NPI 1053489062
-
- Specialist
- Puyallup, WA
- NPI 1164459442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1629064589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 SOUTH I STREET",
"address_2": "SUITE 305",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055093",
"telephone_number": "253-428-8700",
"fax_number": "253-383-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 SOUTH MERIDIAN",
"address_2": "SUITE 100",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731428",
"telephone_number": "253-841-4296",
"fax_number": "253-841-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCROSKEY",
"first_name": "ROBERT",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD00028658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L AND I",
"identifier": "99334",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1067685",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.