JOHN R CROCKARELL


Address: 1400 S Germantown Rd, Germantown, TN 38138-2205
Phone: 9017593100

JOHN R CROCKARELL (NPI# 1427044197) 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) 1427044197
Entity Type Individual
Full Name JOHN R CROCKARELL
Credential M.D.
Practice Address 1400 S Germantown Rd
Germantown
TN 38138-2205
Practice Telephone 9017593100
Mailing Telephone 9017593100
Enumeration Date 2005-09-27
Last Update Date 2018-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
26205 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3813362 05
AR 165770001 05
MS 04700246 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8000 Centerview Pkwy Ste 500, Cordova, TN 380184254 9017593100
1458 W Poplar Ave Ste 100, Collierville, TN 380170630 9017593100
1211 Union Ave Ste 500, Memphis, TN 381046656 9017593100
7545 Airways Blvd, Southaven, MS 386715806 9017593100

Other Providers JOHN CROCKARELL

NPI Name Taxonomy Address Enumeration
1205008604 John Reams Crockarell Sr. Neurological Surgery 2645 Halle Pkwy, Collierville, TN 38017-8802 2008-03-26

Office Location

Street Address 1400 S GERMANTOWN RD
City GERMANTOWN
State TN
Zip Code 38138-2205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225024953 Susan N Ishikawa Orthopaedic Surgery 1400 S Germantown Rd, Germantown, TN 38138-2205 2005-09-27
1811503196 Cody Mitchell Hastings Physician Assistant 1400 S Germantown Rd, Germantown, TN 38138-2205 2020-09-22
1477167468 Kristen Thelen Physician Assistant 1400 S Germantown Rd, Germantown, TN 38138-2205 2020-09-07
1710591201 Sarah Barlow Physician Assistant 1400 S Germantown Rd, Germantown, TN 38138-2205 2020-09-02
1114483716 Abigail Norton Specialist/Technologist 1400 S Germantown Rd, Germantown, TN 38138-2205 2019-02-19
1093285306 Marcy Larson Physical Medicine & Rehabilitation 1400 S Germantown Rd, Germantown, TN 38138-2205 2018-11-29
1518462290 Kenan Stewart Prentice Physician Assistant 1400 S Germantown Rd, Germantown, TN 38138-2205 2018-03-26
1013426287 Brittany N Logan Specialist/Technologist 1400 S Germantown Rd, Germantown, TN 38138-2205 2017-09-20
1487170924 Mary Angela Hardin Registered Nurse 1400 S Germantown Rd, Germantown, TN 38138-2205 2017-08-16
1831621952 Kelley Funderburg Nurse Practitioner 1400 S Germantown Rd, Germantown, TN 38138-2205 2017-03-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790382281 Bluff Medical Group Nurse Practitioner 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 2020-10-07
1689293797 Diana Bryn Manning Dietitian, Registered 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 2020-04-09
1386102796 Moscow Group LLC Pharmacy 2013 Exeter Rd, Germantown, TN 38138 2019-03-05
1952811010 Select Counselor 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 2017-10-03
1033638994 901 Physical Therapy, Pllc Physical Therapist 2495 Regents Walk, Germantown, TN 38138 2017-09-12
1124552401 Elite Dental Germantown Plc Dentist 9064 Corporate Gradens Drive, Germantown, TN 38138 2017-04-13
1740728880 Christian C Haynes Nurse Anesthetist, Certified Registered 1900 Exeter Rd., Suite 210, Germantown, TN 38138 2017-02-09
1740644004 Kimberly Brooke Scheidegger Counselor 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 2016-04-12
1427411644 Jimmy Tam Tran Internal Medicine 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 2016-04-04
1952761876 Jane Chin Wynn Yeoh Orthopaedic Surgery 1400 South Germantown Road, Germantown, TN 38138 2016-03-04
Find all providers in zip 38138

Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790075323 Marcus C Ford Orthopaedic Surgery 1400 S Germantown Rd, Germantown, TN 38138-2205 2011-04-16
1952385460 James W Harkess Orthopaedic Surgery 1400 S Germantown Rd, Germantown, TN 38138-2205 2005-11-30
1861488561 James L Guyton Orthopaedic Surgery 1400 S Germantown Rd, Germantown, TN 38138-2205 2005-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548485071 Brian Thomas Perkinson Orthopaedic Surgery 4323 Carothers Pkwy Ste 201, Franklin, TN 37067-5973 2007-04-17
1902951569 Mark D Turner Orthopaedic Surgery 2001 Laurel Ave, Suite 402 Newland Professional Bldg., Knoxville, TN 37916-1810 2007-01-24
1053410662 L David Johnson Orthopaedic Surgery 24 Physicians Dr, Jackson, TN 38305-2070 2006-09-21
1417973249 Cory L Calendine Orthopaedic Surgery 4323 Carothers Pkwy Ste 201, Franklin, TN 37067-5973 2006-07-14
1588691083 Andrew Brian Thomson Orthopaedic Surgery 2021 Church St, Suite 200, Nashville, TN 37203-2021 2006-06-28

Competitor

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City GERMANTOWN
Zip Code 38138

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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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