Individual provider Active NPI

John Craig Romer, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Huntsville, AL
National Provider Identifier
1932102522
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
17091 Issued in AL
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

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051088785OtherALBCBS
000088785MedicaidAL

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

LicenseStateTypeSpecialty
G8554TXMDAnatomic 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.

Verify at the official NPI Registry.