CROCKETT HOSPITAL LLC (NPI# 1336274612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336274612 |
| Entity Type | Organization |
| Organization Name | CROCKETT HOSPITAL LLC |
| Other Organization Name | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG |
| Practice Address |
1607 S Locust Ave Lawrenceburg TN 38464-4011 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 9317626571 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-04-30 |
| Authorized Official Name | JEFFREY G SERAPHINE (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Regional Health System Lawrenceburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574664 | Crockett Hospital LLC | Family Medicine | 722 N Military St, Loretto, TN 38469-2336 | 2019-05-20 |
| 1790864288 | Crockett Hospital LLC | Rehabilitation Unit | 1607 S Locust Ave, Lawrenceburg, TN 38464 | 2006-11-03 |
| 1114003175 | Crockett Hospital LLC | General Acute Care Hospital | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-10-31 |
| Street Address |
1607 S LOCUST AVE |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629017751 | Thomas W Doss | Physician Assistant | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-06-05 |
| 1902435811 | Maureen C Toy | Dietitian, Registered | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2020-04-02 |
| 1437792694 | Megan Elizabeth Newton | Registered Nurse | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2019-10-21 |
| 1518472109 | Casey M Spirk | Physician Assistant | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2017-12-05 |
| 1033553607 | Matthew B Neal | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2013-04-24 |
| 1720212038 | Crockett Hospital, LLC | Medicare Defined Swing Bed Unit | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2009-05-14 |
| 1790864288 | Crockett Hospital LLC | Rehabilitation Unit | 1607 S Locust Ave, Lawrenceburg, TN 38464 | 2006-11-03 |
| 1114003175 | Crockett Hospital LLC | General Acute Care Hospital | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-10-31 |
| 1073531042 | James David Grippo | Radiology | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-07-18 |
| 1952340697 | Dan S Powell | Emergency Medicine | 1607 S Locust Ave, Lawrenceburg, TN 38464-4011 | 2006-06-06 |
| Find all providers in the same location | ||||
| 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 |
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 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 |
| Find all providers in zip 38464 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972786556 | Frances A Berry-brown Md | Internal Medicine | 233 E Gaines St, Lawrenceburg, TN 38464-3367 | 2007-12-06 |
| 1164545190 | Mohammed Arif Baig | Internal Medicine | 605 Wilson Creek Rd Ste 101, Lawrenceburg, IN 47025-2507 | 2007-04-06 |
| 1356381909 | Frances Ann Berry Brown | Internal Medicine | 233 East Gaines St, Lawrenceburg, TN 38464 | 2006-06-08 |
| 1093754640 | Thom Andrew Bunnell | Internal Medicine | 98 Elm St, Lawrenceburg, IN 47025-2048 | 2006-06-06 |
| 1851350649 | Marcus L. Cobb | Internal Medicine | 120 Industrial Dr, Lawrenceburg, IN 47025-1116 | 2006-03-21 |
| 1053392811 | Micky L Busby | Internal Medicine | 317 W Gaines St, Lawrenceburg, TN 38464-3604 | 2005-11-09 |
| 1427041003 | Haresh H Khatri | Internal Medicine | 416 N Locust Ave, Lawrenceburg, TN 38464-3518 | 2005-08-29 |
| 1528061900 | Harbans S Gill | Internal Medicine | 276 Bielby Rd, Lawrenceburg, IN 47025-2787 | 2005-05-31 |
| 1760968689 | East Indiana Physicians Associates | Internal Medicine | 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 | 2018-07-13 |
| 1821519257 | Photios Vassilyadi | Internal Medicine | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2017-07-06 |
| Find all providers in LAWRENCEBURG | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
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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.