Active NPI
John Craig Romer, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Huntsville, AL
National Provider Identifier
1932102522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 17091
- Practice address
- 2904 Westcorp Blvd SW
Suite 108
Huntsville, AL 35805-6437 - Phone
- (256) 533-1480
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 17091 | AL | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G8554 | TX | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 17091 | AL |
Addresses
Primary practice location
2904 Westcorp Blvd SW
Suite 108
Huntsville, AL 35805-6437
Mailing address
2904 Westcorp Blvd SW
Suite 108
Huntsville, AL 35805-6437
Phone (256) 533-1480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051088785 | Other | AL | BCBS |
| 000088785 | Medicaid | AL |
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 |
|---|---|---|---|
| G8554 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1932102522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 WESTCORP BLVD SW",
"address_2": "SUITE 108",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358056437",
"telephone_number": "256-533-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 WESTCORP BLVD SW",
"address_2": "SUITE 108",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358056437",
"telephone_number": "256-533-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMER",
"first_name": "JOHN",
"middle_name": "CRAIG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AL",
"license": "17091",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "G8554",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "AL",
"license": "17091",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051088785",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000088785",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.