DR. WILLIAM PENN CROOM IV (NPI# 1255752648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255752648 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM PENN CROOM IV |
| Credential | M.D. |
| Practice Address |
615 W Avenue L Lancaster CA 93534-7211 |
| Practice Telephone | 6619514801 |
| Mailing Telephone | 6619514801 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A127958 | CA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A127958 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043384357 | William M. Croom | Dentist | 1201 N Stonewall Ave # Dcsb206, Oklahoma City, OK 73117-1214 | 2006-11-20 |
| Street Address |
615 W AVENUE L |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-7211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295953685 | Seyed Mohammad Reza Monemian | Internal Medicine | 615 W Avenue L, Lancaster, CA 93534-7211 | 2007-04-23 |
| 1215543384 | Alex Jo | Pharmacist | 615 W Avenue L, Lancaster, CA 93534-7211 | 2020-09-23 |
| 1013554559 | Susan Uribe | Respiratory Therapist, Registered | 615 W Avenue L, Lancaster, CA 93534-7211 | 2019-12-03 |
| 1609425941 | Karisa Wymer | Pharmacy | 615 W Avenue L, Lancaster, CA 93534-7211 | 2019-09-09 |
| 1780150193 | Karla Araceli Basto-herrera | Pharmacist | 615 W Avenue L, Lancaster, CA 93534-7211 | 2018-10-23 |
| 1063996783 | Charit Msamalia Chimwala Selico | Registered Nurse | 615 W Avenue L, Lancaster, CA 93534-7211 | 2018-09-19 |
| 1194207704 | Vanessa Christina Gomez | Respiratory Therapist, Registered | 615 W Avenue L, Lancaster, CA 93534-7211 | 2018-08-30 |
| 1437637121 | Todd Isadore Weiss | Respiratory Therapist, Certified | 615 W Avenue L, Lancaster, CA 93534-7211 | 2018-08-03 |
| 1548748528 | Robert Childress IIi | Respiratory Therapist, Certified | 615 W Avenue L, Lancaster, CA 93534-7211 | 2018-08-01 |
| 1376021337 | Juli Marie Bolterman | Respiratory Therapist, Registered | 615 W Avenue L, Lancaster, CA 93534-7211 | 2018-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
| 1386056877 | Henry Hood II | Orthopaedic Surgery | 1029 S Broad St, Lancaster, OH 43130-4628 | 2014-06-02 |
| 1952691248 | Southeast Ohio Regional Orthopaedic Center LLC | Orthopaedic Surgery | 2682 Kull Rd, Lancaster, OH 43130-7707 | 2011-04-08 |
| 1851609572 | Carolina Orthopaedic Surgery Associates, Pa | Orthopaedic Surgery | 1201 Colonial Commons Ct, Lancaster, SC 29720-2210 | 2010-09-15 |
| 1629229141 | Michael Andrew Campbell | Orthopaedic Surgery | 231 Granite Run Drive, Lancaster, PA 17601-6823 | 2008-10-02 |
| 1346339801 | Mohamed Z. Lameer | Orthopaedic Surgery | 43807 10th St W Ste C, Lancaster, CA 93534-4805 | 2006-10-12 |
| 1649386137 | Aran O'malley | Orthopaedic Surgery | 901 West Meeting St, Suite 104, Lancaster, SC 29720-6219 | 2006-08-21 |
| 1942226774 | Jean Marie Marine | Orthopaedic Surgery | 1025 W Meeting St Ste 100, Lancaster, SC 29720-2245 | 2006-07-14 |
| 1629005046 | Robert Simon Mathews | Orthopaedic Surgery | 1300 Millersville Pike, Lancaster, PA 17603-6614 | 2006-06-28 |
| 1235118092 | Brian A Blue | Orthopaedic Surgery | 901 W Meeting St, Suite 104, Lancaster, SC 29720-6219 | 2006-01-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.