CRMC MSO SUB 1, INCORPORATED (NPI# 1972648319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972648319 |
| Entity Type | Organization |
| Organization Name | CRMC MSO SUB 1, INCORPORATED |
| Practice Address |
228 W. 4th Street Suite 200 Cookeville TN 38501 |
| Mailing Address |
Po Box 305172 Department 92 Nashville TN 37230-5172 |
| Practice Telephone | 9313720405 |
| Practice Fax Number | 9313720463 |
| Mailing Telephone | 9313720405 |
| Mailing Fax Number | 9313720463 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2018-01-31 |
| Authorized Official Name | PAUL KORTH (CEO/PRESIDENT) |
| Authorized Official Telephone | 9317832000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3732135 | 05 |
| Street Address |
228 W. 4TH STREET SUITE 200 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823960 | Thomas Little | Internal Medicine | 228 W. 4th Street, Suite 200, Cookeville, TN 38501 | 2006-05-31 |
| 1033376595 | Scott F Reising | Internal Medicine | 228 W. 4th Street, Suite 200, Cookeville, TN 38501 | 2008-05-21 |
| 1043326176 | Stacy David Brewington | Internal Medicine | 228 W. 4th Street, Suite 200, Cookeville, TN 38501 | 2006-08-22 |
| 1376588913 | Mariano F Battaglia | Internal Medicine | 228 W. 4th Street, Suite 200, Cookeville, TN 38501 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1992007348 | La Management Company | Specialist | 1125 Deer Creek Dr, Cookeville, TN 38501-6680 | 2010-11-17 |
| 1184892317 | Jenny Lynn Hall | Specialist | 2541 Nova Cir, Cookeville, TN 38501-5626 | 2008-02-11 |
| 1770702334 | Putnam Radiology, PC | Specialist | 315 N Washington Ave Ste 209, Cookeville, TN 38501-2660 | 2007-04-24 |
| 1568501716 | Charles R Norman | Specialist | 125 S Jefferson Ave, Cookeville, TN 38501-3424 | 2007-02-05 |
| 1124111661 | Scott A Copeland | Specialist | 203 N. Cedar Avenue, Suite A, Cookeville, TN 38501 | 2006-10-02 |
| 1982719092 | Satya Narayan Chakrabarty | Specialist | 435 N Cedar Ave, Cookeville, TN 38501-2422 | 2006-08-20 |
| 1124052972 | Steven L Clemons | Specialist | 682 Canter Ln, Cookeville, TN 38501-4523 | 2006-07-10 |
| 1265465041 | Cumberland Back Pain Clinic PC | Specialist | 480 Neal St Ste 101, Cookeville, TN 38501-4073 | 2006-07-07 |
| 1891731055 | Phillip H Lucas | Specialist | 136 East Spring Street, Cookeville, TN 38501-3208 | 2006-06-22 |
| 1508815648 | Therapy Solutions, PC | Specialist | 1683 S Jefferson Ave, Cookeville, TN 38506-2517 | 2006-05-08 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on CRMC MSO SUB 1, INCORPORATED.
| 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.