Eric Edward Croucher, DC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

X006586-1 Issued in NY

Practice address

138 E. Genesee St.
Baldwinsville, NY 13027-2720

Phone

(315) 635-2333

Fax

(315) 635-3945

NPI assigned

Sep 20, 2006

Last updated

Mar 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upstate Chiropractic, PCGroup PAC ID 3375543952, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upstate Chiropractic, PC

  • Neurology Chiropractor
  • Baldwinsville, NY
  • NPI 1639254964
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1962500017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272720",
            "telephone_number": "315-635-2333",
            "fax_number": "315-635-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E. GENESEE ST.",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272720",
            "telephone_number": "315-635-2333",
            "fax_number": "315-635-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCHER",
        "first_name": "ERIC",
        "middle_name": "EDWARD",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "X006586-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA1495",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Cornell, RN
• Chelsea Coulter
• Andrea Louise Cox, LPN
• Crista Zirgulis
• Edwin Ernest Croucher III, D.C.
• Rebecca Lynn Croucher, ACSW, CSW-R
• Christina Crutchfield, LPN
• Skylar R Crysler
• Marlena Cunningham, NBC-HWC
• Madeline Frances Curtis

• Neurology Chiropractor in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Neurology Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.