DR. JASON BLAIR CROFTS (NPI# 1417218769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417218769 |
| Entity Type | Individual |
| Full Name | DR. JASON BLAIR CROFTS |
| Credential | D.O. |
| Practice Address |
2314 Sassafras St 2nd Floor Erie PA 16502-2722 |
| Practice Telephone | 8144525105 |
| Practice Fax Number | 8144525097 |
| Mailing Telephone | 8144525105 |
| Mailing Fax Number | 8144525097 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OT014460 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2314 SASSAFRAS ST 2ND FLOOR |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508840190 | Dorothy Candib | Internal Medicine | 2314 Sassafras St, Suite 200, Erie, PA 16502-2722 | 2005-12-06 |
| 1720492358 | Bobbie Brotherson | Emergency Medicine | 2314 Sassafras St, 3rd Floor, Erie, PA 16502-2722 | 2014-06-11 |
| 1689087306 | Hisham Abusamhadana | Family Medicine | 2314 Sassafras St, 3rd Floor, Erie, PA 16502-2722 | 2014-06-10 |
| 1225470107 | Mobile Medical Unit | Family Medicine | 2314 Sassafras St, 200, Erie, PA 16502-2722 | 2013-07-22 |
| 1205273059 | Annie Thu Hang Nguyen | Family Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2013-06-03 |
| 1164771077 | Priyanka Chadha | Family Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2012-09-06 |
| 1891058632 | Klara Anna Roman | Family Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2012-06-18 |
| 1134480445 | Dawn Elizabeth Karns | Family Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2012-06-04 |
| 1275894537 | Christopher John Karns | Emergency Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2012-06-04 |
| 1306138227 | Adam J Petroski | Emergency Medicine | 2314 Sassafras St, Suite 300, Erie, PA 16502-2722 | 2011-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780176388 | Matthew Marion Mccarthy | Emergency Medicine | 1416 W Grandview Blvd, Erie, PA 16509-1267 | 2018-05-31 |
| 1205280872 | Alan Goff Jr. | Emergency Medicine | 2221 Eastern Ave, Erie, PA 16510-1717 | 2016-04-19 |
| 1659747483 | Chad Val Stratford | Emergency Medicine | 252 W 25th St, Erie, PA 16544 | 2015-08-17 |
| 1487950986 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 5039 Peach St, Unit A-9, Erie, PA 16509-2032 | 2011-01-31 |
| 1326340555 | Keyur Patel | Emergency Medicine | 5708 Georgetown Dr, Erie, PA 16509-3139 | 2010-11-19 |
| 1093964082 | Amy Pope | Emergency Medicine | 135 East 38th Street Boulevard, Erie, PA 16504-1596 | 2008-09-15 |
| 1104841501 | Dean Williams | Emergency Medicine | 2159 Pinon Cir, Erie, CO 80516-7958 | 2006-07-13 |
| 1972535888 | Mary Ann Kozlowski | Emergency Medicine | 3850 Beech Ave, Erie, PA 16508-3113 | 2006-07-07 |
| 1063487544 | Frank J. Liebentritt | Emergency Medicine | 6427 Downhill Dr, Erie, PA 16505-1067 | 2006-02-20 |
| 1023088226 | Susan E Robbins | Emergency Medicine | 7200 Peach St, Epn/hamot Urgent Care-upmc Unit 16, Erie, PA 16509-4754 | 2006-01-23 |
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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.