Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JERRY RUSSELL CROTEAU MD
NPI 1699762179
Radiology - Diagnostic Radiology in Mechanicsburg, PA

Active since September 30, 2005
4665 E TRINDLE RD, MECHANICSBURG, PA 17050(717) 975-0445(717) 731-9165 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Russell Croteau Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY RUSSELL CROTEAU MD (NPI 1699762179) is an individual diagnostic radiology provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MD007267E) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1699762179
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJERRY RUSSELL CROTEAUCredential: MD
Location Address4665 E TRINDLE RDMechanicsburg, PA 17050-3640
Mailing Address629d Lowther RdLewisberry, PA 17339-9527 · (717) 938-2765 · Fax (717) 932-3095
Fax(717) 731-9165
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1699762179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in PA · MD007267E
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4665 E TRINDLE RD, Mechanicsburg, PA 17050

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
4665 E TRINDLE RD
MECHANICSBURG, PA 17050
Radiology (Diagnostic Radiology)
4665 E TRINDLE RD
MECHANICSBURG, PA 17050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Croteau's NPI number?

The NPI number for Jerry Croteau is 1699762179. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Jerry Croteau located?

Jerry Croteau practices at 4665 E Trindle Rd, Mechanicsburg, PA 17050. The listed phone number is (717) 975-0445.

What is Jerry Croteau's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jerry Croteau was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.