CROSSROADS PEDIATRIC GROUP, PLLC (NPI# 1336391325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336391325 |
| Entity Type | Organization |
| Organization Name | CROSSROADS PEDIATRIC GROUP, PLLC |
| Practice Address |
491 Sage Rd N Suite 200 White House TN 37188-9138 |
| Practice Telephone | 6156727122 |
| Practice Fax Number | 6156727849 |
| Mailing Telephone | 6156727122 |
| Mailing Fax Number | 6156727849 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2009-01-09 |
| Authorized Official Name | DR. ASHA JOSEPH (M.D.) |
| Authorized Official Telephone | 6156727122 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 43871 | TN | Other Service Providers |
| Street Address |
491 SAGE RD N SUITE 200 |
| City | WHITE HOUSE |
| State | TN |
| Zip Code | 37188-9138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093796054 | Mark S Vance | Physical Therapist | 491 Sage Rd N, Ste. 1000, White House, TN 37188-9360 | 2005-11-08 |
| 1356773626 | White House Pain Institute LLC | Specialist | 491 Sage Rd N, Suite 1100, White House, TN 37188-9360 | 2013-08-08 |
| 1740584317 | Lauren Palmore Worthey | Nurse Practitioner | 491 Sage Rd N, Suite 200, White House, TN 37188-9360 | 2010-12-22 |
| 1952531519 | Priority Sleep Disorders Center | Clinical Medical Laboratory | 491 Sage Rd N, White House, TN 37188-9360 | 2009-07-16 |
| 1801034954 | Tennessee Orthopaedic Alliance Pa | Orthopaedic Surgery | 491 Sage Rd N, Suite 400, White House, TN 37188-9360 | 2009-01-28 |
| 1508032251 | Mccormicks Pharmacy Inc | Pharmacy | 491 Sage Rd N, Ste 1200, White House, TN 37188-9360 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
| 1790336147 | Seven Springs Orthopaedics, PC | Physical Therapist | 707 Highway 76, White House, TN 37188 | 2019-09-26 |
| 1689194623 | Philip B Vickery Frederick L Jones Jr Dba The Smile Center | Dentist | 2823 Hwy 31 W South, White House, TN 37188 | 2017-06-21 |
| 1699213868 | Aaron Pitts | Nurse Practitioner | 305 Skyline Dr, White House, TN 37188 | 2017-02-07 |
| 1609266097 | Blerta Abdi Selden | Dentist | 520 Tn 76, Suite 9, White House, TN 37188 | 2015-01-23 |
| 1538498399 | Elizabeth Price | Nurse Practitioner | 510 West Hwy 76, White House, TN 37188 | 2009-12-08 |
| 1790950020 | Beverly Matthews | Nurse Practitioner | 128 Raymond Hirsch Parkway, Whitehouse, TN 37188 | 2008-04-28 |
| 1417126103 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 222 Wilkinson Lane, White House, TN 37188 | 2008-02-27 |
| 1528249737 | Crossroads Sleep Center,pllc | Clinical Medical Laboratory | 491 Sage Road, Suite 300, White House, TN 37188 | 2007-11-15 |
| 1952596694 | White House Health Care Inc | Assisted Living Facility | 100 Clinton Dr, White House, TN 37188 | 2007-09-06 |
| Find all providers in zip 37188 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417011008 | Gilbert Bazaldua | Specialist | 614b Hwy 76, White House, TN 37188 | 2006-12-20 |
| 1376580159 | Allen R. Walker Jr. | Specialist | 538 Raymond Hirsch Pkwy, White House, TN 37188-8080 | 2006-06-01 |
| 1356773626 | White House Pain Institute LLC | Specialist | 491 Sage Rd N, Suite 1100, White House, TN 37188-9360 | 2013-08-08 |
| 1184806077 | Allen Walker, M.d., L.L.C. | Specialist | 538 Raymond Hirsch Pkwy, White House, TN 37188-8080 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1487270963 | Daphne Hall | Specialist | 2504 Mount Moriah Rd Bldg D, Memphis, TN 38115-1519 | 2020-06-22 |
| 1235772435 | Cranial Prosthesis & Hair Loss Solutions LLC | Specialist | 310 S Walnut Bend Rd Ste 12, Cordova, TN 38018-7282 | 2019-10-21 |
| 1013481597 | Tiffany Powell | Specialist | 679 S Mendenhall Rd, Memphis, TN 38117-5212 | 2019-01-17 |
| 1619450160 | Lawrence Allan Claiborne | Specialist | 370 Morgan Rd, Greeneville, TN 37745-3118 | 2018-09-11 |
| 1740761949 | Anita Camille Henderson | Specialist | 718 Valencia Dr, Clarksville, TN 37043-2058 | 2018-08-24 |
| 1104311943 | I Am Tiara Mitchell | Specialist | 3913 Brainerd Rd, Chattanooga, TN 37411-3733 | 2018-06-25 |
| 1245735067 | Xclusive Kutz Barbershop | Specialist | 3610 Park Ave, Memphis, TN 38111-5630 | 2018-03-25 |
| 1083122642 | Daniela Kam | Specialist | 2615 Medical Center Pkwy Ste 1560, Murfreesboro, TN 37129-3758 | 2018-01-17 |
| 1871006924 | Jama'l Oliver | Specialist | 2038 Tynewood Dr, Clarksville, TN 37042-5285 | 2017-11-12 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HOUSE |
| Zip Code | 37188 |
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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.