Individual provider Active NPI

Robert Samuel Cromartie III, M.D.

  • Specialist
  • Ormond Beach, FL
National Provider Identifier
1902803240
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME24182 Issued in FL
Practice address
588 Sterthaus Ave
Ormond Beach, FL 32174-5128
Phone
(386) 672-9501
Fax
(386) 673-0308
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME24182 FL Primary

Addresses

Primary practice location

588 Sterthaus Ave
Ormond Beach, FL 32174-5128

Mailing address

588 Sterthaus Ave
Ormond Beach, FL 32174-5128
Phone (386) 673-9501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24182FLMDClinical Social Worker
ME24182FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902803240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 STERTHAUS AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745128",
            "telephone_number": "386-673-9501",
            "fax_number": "386-673-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 STERTHAUS AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745128",
            "telephone_number": "386-672-9501",
            "fax_number": "386-673-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMARTIE",
        "first_name": "ROBERT",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME24182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.