John C Crouch, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS3602 Issued in FL

Practice address

11600 SE Federal Hwy
Hobe Sound, FL 33455-5213

Phone

(772) 223-4943

Fax

(772) 223-4944

NPI assigned

Jul 18, 2006

Last updated

Jul 22, 2008By the provider in NPPES

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 FL

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 Osteopathy, Doctor of Medicine

Practice roles

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospice of Martin & St Lucie Inc

  dba Treasure Coast Hospice of Martin

  • Community Based Hospice Care Agency
  • Stuart, FL
  • NPI 1699886184

  W-2 Managing Employee

  CMS ownership
• Hospice of the Treasure Coast Inc

  dba Treasure Coast Hospice St. Lucie

  • Community Based Hospice Care Agency
  • Fort Pierce, FL
  • NPI 1598876088

  W-2 Managing Employee

  CMS ownership

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.

• Hospice of the Treasure Coast Inc

  dba Treasure Coast Hospice St. Lucie

  • Community Based Hospice Care Agency
  • Fort Pierce, FL
  • NPI 1598876088

  Family Medicine

  NPD
• Gateway Medical Group LC

  • Cardiovascular Disease Physician
  • Okeechobee, FL
  • NPI 1124012422
  NPD (past)
• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • Urgent Care Clinic/Center
  • Stuart, FL
  • NPI 1154962918
  NPD (past)
• Martin Memorial Physician Corporation Inc

  • Multi-Specialty Clinic/Center
  • Stuart, FL
  • NPI 1578505228
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1851310445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-5665",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555213",
            "telephone_number": "772-223-4943",
            "fax_number": "772-223-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267620600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Care Corporation (Martin Memorial Medicenter of Hobe Sound)
• Cor Behavioral Health LLC
• Danielle Corter
• Joseph Creps, PHARM.D
• Crossroads Consulting International LLC
• Eleanor Leeann Cupeto, PHARMD
• D3 Data Driven Decisions
• Timothy Das
• David a Garfield
• Lajhonda Bonsha Dawson

• Family Medicine Physician in Hobe Sound, FL
• Providers in Hobe Sound, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.