NORTHCREST MEDICAL CENTER (NPI# 1669567897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669567897 |
| Entity Type | Organization |
| Organization Name | NORTHCREST MEDICAL CENTER |
| Practice Address |
100 Northcrest Dr Springfield TN 37172-3927 |
| Mailing Address |
Po Box 305172 Dept 97 Nashville TN 37230-5172 |
| Practice Telephone | 6153841571 |
| Practice Fax Number | 6153825776 |
| Mailing Telephone | 6153841571 |
| Mailing Fax Number | 6153825776 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | MR. RANDALL K DAVIS (CEO) |
| Authorized Official Telephone | 6153842411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0000000099 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS ID NUMBER | 1000141 | 01 |
| TN | OSCAR/MEDICARE | 440065 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487099776 | Northcrest Medical Center | Clinic/Center | 520 Northcrest Dr, Springfield, TN 37172-4066 | 2013-05-01 |
| 1699850180 | Northcrest Medical Center | Hospice Care, Community Based | 101e Mooreland Drive, Springfield, TN 37172-3974 | 2006-10-25 |
| 1376025114 | Northcrest Medical Center | Medicare Defined Swing Bed Unit | 100 Northcrest Dr, Springfield, TN 37172 | 2018-08-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHCREST MEDICAL CENTER | 100 Northcrest Dr, Springfield, TN 37172-3927 |
| Street Address |
100 NORTHCREST DR |
| City | SPRINGFIELD |
| State | TN |
| Zip Code | 37172-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073594099 | John Jason James | Emergency Medicine | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2005-11-08 |
| 1467082511 | Jessica Lynn Williams | Registered Nurse | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2020-01-16 |
| 1487298980 | Keith Richard Kuboske | Pharmacist | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2019-10-29 |
| 1376025114 | Northcrest Medical Center | Medicare Defined Swing Bed Unit | 100 Northcrest Dr, Springfield, TN 37172 | 2018-08-29 |
| 1811405236 | Todd M Perkins | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172 | 2018-01-19 |
| 1104378538 | Matthew Stewart | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2016-11-02 |
| 1265897177 | William Claude England Iv | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2015-12-18 |
| 1699177162 | Cep America LLC | Physician Assistant | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-09-16 |
| 1023435724 | Michelle Marie Breedlove | Nurse Practitioner | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-03-20 |
| 1417370479 | Seleana Miller | Nurse Anesthetist, Certified Registered | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
| 1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1083163752 | The Ridge | Counselor | 514 Hill Street, Springfield, TN 37172 | 2016-09-23 |
| 1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
| 1174964258 | Molly Williams | Registered Nurse | 800 S. Brown Street, Springfield, TN 37172 | 2013-07-17 |
| Find all providers in zip 37172 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1558740761 | Zarghoona Razi | General Acute Care Hospital | 6119 Greeley Blvd, Springfield, VA 22152-1831 | 2015-05-20 |
| 1821345729 | St, Mary's Hospital | General Acute Care Hospital | 409 N 13th St, Springfield, IL 62702-8422 | 2012-08-09 |
| 1215213756 | Northwest Association of Surgical Assistants, Inc. | General Acute Care Hospital | 3782 Po Box, Springfield, OR 97475 | 2011-10-28 |
| 1356629752 | University of Tennessee Health Science Center | General Acute Care Hospital | 4737 Lahr Rd, Springfield, TN 37172-7125 | 2011-08-02 |
| 1972675148 | Bharati S. Jhaveri | General Acute Care Hospital | 1312 Woods Farm Ln, Springfield, IL 62704-6545 | 2006-11-14 |
| 1316904014 | Mercy Health System Western Ohio | General Acute Care Hospital | 1 S Limestone St, Suite 700, Springfield, OH 45502-1293 | 2006-04-27 |
| 1184606923 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-17 |
| 1063961936 | Memorial Physician Services | General Acute Care Hospital | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2016-10-03 |
| 1619331022 | Prospect Ccmc, LLC | General Acute Care Hospital | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2016-04-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 37172 |
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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.