Active NPI
Jason Robert Croad, D.O.
- Family Medicine Physician
- Hershey, PA
National Provider Identifier
1992083778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS019536
- Practice address
- 845 Fishburn Rd
Hershey, PA 17033-2015 - Phone
- (717) 531-8181
- Fax
- (717) 531-3509
- NPI assigned
- Jul 28, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1033 | NE | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | OS019536 | PA | Primary |
Addresses
Primary practice location
845 Fishburn Rd
Hershey, PA 17033-2015
Mailing address
PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035497850001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS019536 | PA | MD | Family Medicine Physician |
| 1033 | NE | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Family Medicine | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients |
Locations
845 Fishburn Rd
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Family Medicine Physician
- Hershey, PA
- NPI 1538134234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1992083778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "MC A410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "800-243-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 FISHBURN RD",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332015",
"telephone_number": "717-531-8181",
"fax_number": "717-531-3509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROAD",
"first_name": "JASON",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-28",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "1033",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS019536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035497850001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.