MRS. SUSANNA RAE CROUCH


Address: 2341 Mccallie Avenue. Plaza 3, Ste. 406., Gastroenterology Associates of Chattanooga, PC, Chattanooga, TN 37404-3229
Phone: 4236488204

MRS. SUSANNA RAE CROUCH (NPI# 1376703405) 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) 1376703405
Entity Type Individual
Full Name MRS. SUSANNA RAE CROUCH
Credential APRN-BC, FNP
Practice Address 2341 Mccallie Avenue. Plaza 3, Ste. 406.
Gastroenterology Associates of Chattanooga, PC
Chattanooga
TN 37404-3229
Mailing Address 2341 Mccallie Avenue. Plaza 3, Ste. 406
Gastroenterology Associates of Chattanooga, PC
Chattanooga
TN 37404-3229
Practice Telephone 4236488204
Practice Fax Number 4234931908
Mailing Telephone 4236488204
Mailing Fax Number 4234931908
Enumeration Date 2008-06-12
Last Update Date 2013-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
13252 TN Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
13252APNFNP TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN MEDICARE PTAN 103I503608 01

Office Location

Street Address 2341 MCCALLIE AVENUE. PLAZA 3, STE. 406.
GASTROENTEROLOGY ASSOCIATES OF CHATTANOOGA, PC
City CHATTANOOGA
State TN
Zip Code 37404-3229

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306494216 Cynthia Caffey Technician 1305 E. 28th St. Apt A, Chatta, TN 37404 2019-09-04
1851944482 Stacey Stokes Peer Specialist 1413 Bailey Ave, Chattanooga, TN 37404 2019-07-23
1306354790 Erlanger Behavioral Health, LLC Psychiatric Hospital 804 North Holtzclaw Avenue, Chattanooga, TN 37404 2018-01-19
1245746171 Davis Supportive Living Home Inc. Custodial Care Facility 1106 Duncan Avenue, Chattanooga, TN 37404 2017-12-14
1124544762 Rachael Anne Maciver Nurse Practitioner 1909 South Willow Street, Chattanooga, TN 37404 2017-08-15
1447796214 Esli Castillo Nurse Practitioner 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 2017-01-17
1922542158 Natasha Elliott Community Health Worker 2804 Cannon Ave, Chattanooga, TN 37404 2016-12-07
1730630153 Jonathan Easter Taxi 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 2016-10-20
1477946143 Thomas Jereme Holcomb Nurse Practitioner 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 2015-03-05
1922426709 Sarah Mccary Baker Internal Medicine 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 2014-03-31
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790984300 Laxmi Parsa Internal Medicine 979 E 3rd St Ste C825, Chattanooga, TN 37403 2007-07-13
1316013121 Alan F Shikoh Internal Medicine 721 Glenwood Dr Ste W473, Chattanooga, TN 37404 2006-11-27
1558337451 Sumeet Jagdish Bhushan Internal Medicine 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 2006-02-28
1538141411 James Scott Manton Internal Medicine 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 2005-11-16
1932181245 Donald Paul Hetzel Internal Medicine 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 2005-11-14
1124024534 Chattanooga Gastroenterology, PC Internal Medicine 2341 Mccallie Avenue, Plaza Three, Suite 400, Chattanooga, TN 37404 2005-06-22
1063802734 Tri-state Gastroenterology Associates, Pllc Internal Medicine 935 Spring Creek Rd, Suite 203, Chattanooga, TN 37412-3993 2015-02-02
1013215078 Charles Robert Bosshardt Internal Medicine 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 2011-03-01
1801025440 Arslan A. Kahloon Internal Medicine 979 East Third Street, Suite C-825, Chattanooga, TN 37403-3304 2009-07-03
1568604494 Chattanooga Hamilton County Hospital Authority Internal Medicine 979 E 3rd St, Suite C-825, Chattanooga, TN 37403-2136 2009-03-24
Find all providers in CHATTANOOGA

Competitor

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City CHATTANOOGA
Zip Code 37404

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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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