CROSSVILLE MEDICAL GROUP PA (NPI# 1053414698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053414698 |
| Entity Type | Organization |
| Organization Name | CROSSVILLE MEDICAL GROUP PA |
| Practice Address |
100 Lantana Rd Suite 202 Crossville TN 38555-1903 |
| Practice Telephone | 9314845141 |
| Practice Fax Number | 9314845620 |
| Mailing Telephone | 9314845141 |
| Mailing Fax Number | 9314845620 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | GARY BURTON (ADMINISTRATOR) |
| Authorized Official Telephone | 9314845141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3370906 | 05 |
| Street Address |
100 LANTANA RD SUITE 202 |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669412144 | John Smith Professional Pharmacy, Inc. | Pharmacy | 100 Lantana Rd, Ste. 201, Crossville, TN 38555-1903 | 2006-06-07 |
| 1336500834 | Dale Cuva | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2016-03-10 |
| 1174981757 | Christopher Rourke | Physician Assistant | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2016-02-10 |
| 1275903585 | Joy Henry | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-09-29 |
| 1598134058 | Dawn Oneal | Registered Nurse | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-09-15 |
| 1083090682 | Brittany Hill Slatton | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-08-05 |
| 1972856409 | Sandra J Monday | Physician Assistant | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2012-10-22 |
| 1770805327 | Roy Mcclanahan | Pharmacist | 100 Lantana Rd, Crossville, TN 38555-1915 | 2010-02-24 |
| 1366695363 | Andrew Thomas Szaflarski | Obstetrics & Gynecology | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2008-11-04 |
| 1770613424 | Vicki S Upchurch | Pharmacist | 100 Lantana Rd, Ste. 201, Crossville, TN 38555-1915 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023323730 | Benchmark Healthcare Services LLC | Clinic/Center | 4929 Peavine Rd Ste 106, Crossville, TN 38571-7995 | 2010-08-18 |
| 1336306752 | Independent Physical Therapy | Clinic/Center | 80 Miller Ave Ste 104, Crossville, TN 38555-6056 | 2008-05-22 |
| 1316252026 | Benchmark Healthcare Services LLC | Clinic/Center | 115 Cumberland Plz, Crossville, TN 38555-4292 | 2010-08-18 |
| 1073849733 | Independent Physical Therapy | Clinic/Center | 4929 Peavine Rd Ste 106, Crossville, TN 38571-7995 | 2009-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635594 | Bryn Medical Pllc | Clinic/Center | 4295 Cromwell Rd Ste 301, Chattanooga, TN 37421-2163 | 2020-09-29 |
| 1952914285 | Methodist Physician Practice LLC | Clinic/Center | 1211 Union Ave Ste 330, Memphis, TN 38104-6655 | 2020-08-26 |
| 1831721208 | Patientchoicemd, LLC | Clinic/Center | 3274 Wind Shadow Cv, Memphis, TN 38125-0773 | 2020-02-04 |
| 1518515733 | Chs Tennessee Medical P C | Clinic/Center | 800 Howard Baker Ave # Jr, Knoxville, TN 37915-2509 | 2019-08-30 |
| 1245898303 | Summit Medical Group, Pllc | Clinic/Center | 7545 Barnett Way Ste A, Powell, TN 37849-3565 | 2019-06-04 |
| 1992362412 | The Restore Clinic | Clinic/Center | 268 Veterans Pkwy Ste F, Murfreesboro, TN 37128-6432 | 2019-05-20 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1720565906 | Woodland Medical Pllc | Clinic/Center | 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421-1972 | 2018-07-20 |
| 1861981797 | Chs Tennessee Medical P C | Clinic/Center | 2782 York Rd, Pleasant View, TN 37146-9070 | 2018-05-07 |
| 1316436611 | Lourdes Physician Services LLC | Clinic/Center | 103 Continental Pl Ste 200, Brentwood, TN 37027-1042 | 2018-05-02 |
| Find all providers with the same taxonomy | ||||
| City | CROSSVILLE |
| Zip Code | 38555 |
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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.