MRS. TYWANDA RENEE' CRAWFORD-JOHNSON


Address: 505 N Jackson St, Jackson, MI 49201-1266
Phone: 5177485500

MRS. TYWANDA RENEE' CRAWFORD-JOHNSON (NPI# 1245430693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245430693
Entity Type Individual
Full Name MRS. TYWANDA RENEE' CRAWFORD-JOHNSON
Credential M.D.
Practice Address 505 N Jackson St
Jackson
MI 49201-1266
Practice Telephone 5177485500
Practice Fax Number 5177809286
Mailing Telephone 5177485500
Mailing Fax Number 5177809286
Enumeration Date 2007-07-24
Last Update Date 2012-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301088561 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 505 N JACKSON ST
City JACKSON
State MI
Zip Code 49201-1266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457357055 Miraflor Reyes Pediatrics 505 N Jackson St, Jackson, MI 49201-1266 2005-06-28
1205441193 Alexis Roe Pharmacist 505 N Jackson St, Jackson, MI 49201-1266 2020-09-09
1760004824 Heather Rae Shoffstall Mcalvey Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2020-05-12
1003456955 Karen Lizeth Hernandez Martinez Social Worker 505 N Jackson St, Jackson, MI 49201-1266 2020-01-08
1720552078 Leon Puttler Psychologist 505 N Jackson St, Jackson, MI 49201-1266 2019-01-18
1265918924 Jenna Prater Pharmacist 505 N Jackson St, Jackson, MI 49201-1266 2018-07-16
1467938449 Jaskarandeep Singh Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-13
1215423744 Gurpinderjit Virk Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
1528554052 Supreet Bains Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
1053807578 Mahad Rayale Student in an Organized Health Care Education/Training Program 505 N Jackson St, Jackson, MI 49201-1266 2018-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235754995 Oak Street Health Physicians Group of Mississippi, LLC Family Medicine 911 Ellis Ave, Jackson, MS 39209 2020-06-09
1003470758 Central Mississippi Health Services, Inc Family Medicine 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 2019-04-29
1922515493 Meaghan Schenk Johnson Family Medicine 2969 Curran Dr N # 200, Jackson, MS 39216-4121 2018-01-05
1740795731 Emily Colleen Dunaway Family Medicine 1227 N State St # 101, Jackson, MS 39202-2002 2017-12-12
1679086367 Hope Np House Call Practice Family Medicine 98 Grandview Ave, Jackson, OH 45640-9090 2017-11-16
1427585488 Daniel Matthew Bender Family Medicine 455 W Broadway Ave, Jackson, WY 83001-8639 2017-05-21
1891235289 Logan Hardin Family Medicine 1270 Union University Dr Ste A, Jackson, TN 38305-3856 2017-03-03
1255782843 Seth Tyler Koehler Family Medicine 2600 E Main St, Jackson, MO 63755-2473 2016-06-25
1720495245 Gopi Patel Family Medicine 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 2014-07-16
1154735165 Lk Physicians Services Pllc Family Medicine 36 Lake Pointe Dr, Jackson, TN 38305-8113 2014-06-17
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Competitor

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City JACKSON
Zip Code 49201

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Dataset Information

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.

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