Active NPI
John W Cromer Jr., MD
- Occupational Medicine Physician
- Wilmington, NC
National Provider Identifier
1912922436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 22905
- Practice address
- 1135 Military Cutoff Rd
Suite 103
Wilmington, NC 28405-3685 - Phone
- (910) 256-6222
- Fax
- (910) 256-0011
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | NC99205 | NC | |
| Occupational Medicine Physician | 2083X0100X | 22905 | NC | Primary |
Addresses
Primary practice location
1135 Military Cutoff Rd
Suite 103
Wilmington, NC 28405-3685
Mailing address
PO Box 602484
Charlotte, NC 28260-2484
Phone (910) 256-6222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912922436 | Medicaid | NC | |
| 8925820 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22905 | NC | MD | Pharmacist |
| NC99205 | NC | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Chiro-Prak-Tik, PLLC | Past | Accepting new patients |
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.
-
- Chiropractor
- Wilmington, NC
- NPI 1841546835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1912922436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602484",
"telephone_number": "910-256-6222",
"fax_number": "910-256-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 MILITARY CUTOFF RD",
"address_2": "SUITE 103",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053685",
"telephone_number": "910-256-6222",
"fax_number": "910-256-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROMER",
"first_name": "JOHN",
"middle_name": "W",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NC",
"license": "NC99205",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NC",
"license": "22905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912922436",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8925820",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.