Individual provider Active NPI

Jason West Cromar, M.D., M.P.H.

  • Aerospace Medicine Physician
  • Davis-Monthan Afb, AZ
National Provider Identifier
1902008980
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
S7034 Issued in TX
Practice address
4175 S Alamo Ave
355 MDG/SGP
Davis-Monthan Afb, AZ 85707
Phone
(240) 994-1678
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X
Internal Medicine Physician 207R00000X S7034 TX
Occupational Medicine Physician 2083X0100X S7034 TX
Aerospace Medicine Physician 2083A0100X S7034 TX Primary

Addresses

Primary practice location

4175 S Alamo Ave
355 MDG/SGP
Davis-Monthan Afb, AZ 85707

Mailing address

4175 S Alamo Ave
355TH Medical Group/SGP
Davis-Monthan Afb, AZ 85707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S7034TXMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jcromar59519@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1902008980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "address_2": "355TH MEDICAL GROUP/SGP",
            "city": "DAVIS-MONTHAN AFB",
            "state": "AZ",
            "postal_code": "85707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "address_2": "355 MDG/SGP",
            "city": "DAVIS-MONTHAN AFB",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "240-994-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMAR",
        "first_name": "JASON",
        "middle_name": "WEST",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S7034",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "S7034",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "S7034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis-Monthan Afb, AZ

Sources for this page

Verify at the official NPI Registry.