DR. JASON MITCHELL CROCKETT (NPI# 1821075375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821075375 |
| Entity Type | Individual |
| Full Name | DR. JASON MITCHELL CROCKETT |
| Credential | D.C. |
| Practice Address |
733 W Kearney St Springfield MO 65803-1229 |
| Practice Telephone | 4178317575 |
| Practice Fax Number | 4178317632 |
| Mailing Telephone | 4178317575 |
| Mailing Fax Number | 4178317632 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2012-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2001006863 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 755773900 | 05 | |
| MO | HEALTHLINK | 466725 | 01 |
| MO | PRIVATE HEALTHCARE SYSTEM | 9168688 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 143164 | 01 |
| MO | RAILROAD MEDICARE | P00324028 | 01 |
| MO | AETNA | 7825256 | 01 |
| MO | UNITED HEALTHCARE | 4400576 | 01 |
| MO | FIRST HEALTH & CCN | 1921532 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922543131 | Jason Wesley Crockett | Registered Nurse | 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710 | 2016-12-23 |
| 1497995245 | Jason Robert Crockett | Physician Assistant | 7431 Nw Loop 410 Ste 109, San Antonio, TX 78245-3597 | 2009-03-05 |
| 1932300308 | Jason E Crockett | Optometrist | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2007-05-31 |
| Street Address |
733 W KEARNEY ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351559 | Caleb J Sanders | Chiropractor | 733 W Kearney St, Springfield, MO 65803-1229 | 2020-06-23 |
| 1558872416 | Jacob Crocker | Chiropractor | 733 W Kearney St, Springfield, MO 65803-1229 | 2017-10-18 |
| 1144207556 | Michael Wayne Jackson | Chiropractor | 733 W Kearney St, Springfield, MO 65803-1229 | 2005-12-28 |
| 1326025867 | Crockett Chiropractic, PC | Chiropractor | 733 W Kearney St, Springfield, MO 65803-1229 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1578179412 | James Crawford | Chiropractor | 2144 E Republic Rd Ste A104, Springfield, MO 65804-4645 | 2020-09-16 |
| 1982218103 | Western Mass Chiropractic PC | Chiropractor | 275 Bicentennial Hwy Ste 211, Springfield, MA 01118-1965 | 2020-09-04 |
| 1730725425 | Chiro One Wellness Center of Springfield, LLC | Chiropractor | 3409 Freedom Dr Ste 150a, Springfield, IL 62704-6517 | 2019-11-18 |
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1992355473 | Candace Bahk Kim | Chiropractor | 6225 Brandon Ave Ste 175, Springfield, VA 22150-2519 | 2019-09-16 |
| 1558826545 | Adrian Bryon Hunter | Chiropractor | 6130 Brandon Ave, Springfield, VA 22150-2610 | 2019-02-05 |
| 1720554959 | Revive Health and Injury Center, LLC | Chiropractor | 333 N Limestone St Ste 104, Springfield, OH 45503-4250 | 2018-10-15 |
| 1831693621 | Michael Benjamin Chiapetto | Chiropractor | 1340 S State St, Springfield, IL 62704-3625 | 2018-03-19 |
| 1134637382 | Gnr Chiropractic LLC | Chiropractor | 2700 W Lawrence Ave Ste J3, Springfield, IL 62704-7201 | 2018-01-22 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
Please comment or provide details below to improve the information on DR. JASON MITCHELL CROCKETT.
| 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.