Individual provider · NPI-1

Dr. Angela J Croom, M.D.

Pediatrics, Pediatric Emergency Medicine · Overland Park, KS

NPI number1891779906
StatusActive
Last updated in NPPESNov 25, 2025

Details

NPI
1891779906
Entity type
Individual (NPI-1)
Name
Dr. Angela J Croom
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 1, 2005
Certification date
Nov 25, 2025
Last updated
Nov 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency Medicine04-31871KSYes
2080P0204X Pediatrics, Pediatric Emergency Medicine2006007895MO

Practice location

5808 W 110th St
Overland Park, KS 66211-2504

Phone 913-696-8000 · Fax 816-302-9939

Mailing address

2401 Gillham Rd
Attn Provider Enrollment Dept
Kansas City, MO 64108-4619

Phone 816-701-5200 · Fax 816-302-9939

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