AMG-CROCKETT, LLC (NPI# 1215144936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215144936 |
| Entity Type | Organization |
| Organization Name | AMG-CROCKETT, LLC |
| Practice Address |
Us Highway 43 South Lawrenceburg TN 38464 |
| Mailing Address |
Po Box 847 Us Highway 43 South Lawrenceburg TN 38464-0847 |
| Practice Telephone | 9317626571 |
| Practice Fax Number | 9317663339 |
| Mailing Telephone | 9317626571 |
| Mailing Fax Number | 9317663339 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JONE LAW KOFORD (DIVISION PRESIDENT) |
| Authorized Official Telephone | 6155651506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811543929 | Amg-crockett, LLC | Clinic/Center | 722 N Military St, Loretto, TN 38469-2336 | 2019-08-14 |
| 1144593658 | Amg-crockett, LLC | Obstetrics & Gynecology | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1578836011 | Amg-crockett, LLC | Surgery | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1043475700 | Amg-crockett, LLC | Psychiatry & Neurology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2008-07-22 |
| 1689843153 | Amg-crockett, LLC | Family Medicine | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2008-02-28 |
| 1912125600 | Amg-crockett, LLC | Urology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2007-04-20 |
| Street Address |
US HIGHWAY 43 SOUTH |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
| 1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
| 1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
| 1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
| 1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
| 1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
| 1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
| 1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
| 1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
| 1982743001 | Gregory Anton Kersulis | Psychiatry & Neurology | 124 South Columbia Ave, Lawrenceburg, TN 38464 | 2007-02-05 |
| Find all providers in zip 38464 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841275682 | Michael I Maggio | Urology | 360 Walnut St, Lawrenceburg, IN 47025-1842 | 2005-12-14 |
| 1881103810 | Amg Crockett LLC | Urology | 190 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2017-09-21 |
| 1083807093 | Tri State Urologic Services Psc Inc | Urology | 605 Wilson Creek Rd, Suite 01, Lawrenceburg, IN 47025-2506 | 2007-08-22 |
| 1912125600 | Amg-crockett, LLC | Urology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363875 | Connor Forbes | Urology | Vumc Dept Urology, 1161 21st Ave. South, A-1302 Medical Center North, Nashville, TN 37232-2765 | 2020-07-10 |
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1750808580 | Clyde Alexander Kyle | Urology | 448 Kyle Ln Nw, Cleveland, TN 37312-6435 | 2017-08-23 |
| 1316464142 | Urology Associates PC | Urology | 4601 Carothers Pkwy Ste 475, Franklin, TN 37067-5980 | 2017-08-23 |
| 1649796376 | Urology Associates PC | Urology | 502 Northcrest Dr, Springfield, TN 37172-4066 | 2017-08-15 |
| 1932625662 | Urology Associates PC | Urology | 393 Wallace Rd Ste A400, Nashville, TN 37211-4983 | 2017-08-15 |
| 1619493343 | Urology Associates PC | Urology | 5651 Frist Blvd Ste 616, Hermitage, TN 37076-2060 | 2017-08-15 |
| 1881110500 | Urology Associates PC | Urology | 107 Glen Oak Blvd Ste 100, Hendersonville, TN 37075-3161 | 2017-08-15 |
| 1124544853 | Urology Associates PC | Urology | 3443 Dickerson Pike Ste 160, Nashville, TN 37207-2533 | 2017-08-15 |
| 1801310727 | Urology Associates PC | Urology | 1909 Mallory Ln Ste 110, Franklin, TN 37067-8230 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
Please comment or provide details below to improve the information on AMG-CROCKETT, LLC.
| 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.