Provider Demographics
NPI:1033216130
Name:CROPP, ALAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:CROPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 TRAILWOOD DR
Mailing Address - Street 2:BOX 14130
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5008
Mailing Address - Country:US
Mailing Address - Phone:330-758-7575
Mailing Address - Fax:330-758-1833
Practice Address - Street 1:925 TRAILWOOD DR
Practice Address - Street 2:BOX 14130
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-5008
Practice Address - Country:US
Practice Address - Phone:330-758-7575
Practice Address - Fax:330-758-1833
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046185207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000029004OtherANTHEM
OH170710OtherBLACK LUNG
OHCR0510193OtherPIN
OH0556394Medicaid
OHCR0510195OtherPIN
OH000000130415OtherANTHEM
OH0556394Medicaid
OHPU9928771Medicare ID - Type Unspecified
OH170710OtherBLACK LUNG