Cynthia Diane Croy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

111410 Issued in MO

Practice address

2504 S Jackson Ave
Joplin, MO 64804-1940

Phone

(417) 624-4060

Fax

(417) 624-6131

NPI assigned

Aug 12, 2005

Last updated

Nov 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Family Health Center of Joplin Inc

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1043202906
  Authorized official Same address or phone

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1720080336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041940",
            "telephone_number": "417-624-4060",
            "fax_number": "417-624-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041940",
            "telephone_number": "417-624-4060",
            "fax_number": "417-624-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROY",
        "first_name": "CYNTHIA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "111410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208672519",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron J Cronister, R.PH.
• Matthew Robert Cronister, O.D.
• Sarah Cross
• Zoey Nicole Crow
• Megan Crowder, NP-C
• David W Croy, MD
• Rex K Crumpacker, MD
• Mariam Fernanda Cruz
• Claudia Bibiana Cuevas, OTR
• Ahliyah Culberson

• Family Medicine Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.