DR. JEFFERSON WARD CROSIER M.D. NPI 1962404228

NPI Information

NPI: 1962404228
Provider Name: DR. JEFFERSON WARD CROSIER, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
753 HUMBLE DR
STE B
COOKEVILLE, TN
ZIP 38501
Phone: (931) 520-1800
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DR. Jefferson Ward Crosier, M.D. is a specialist in Cookeville, TN. The provider is 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. DR. Jefferson Ward Crosier, M.D. NPI is 1962404228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

753 HUMBLE DR
STE B
COOKEVILLE, TN
ZIP 38501-202
Phone: (931) 520-1800
Fax: (931) 520-1844

The enumeration date for this NPI number is 6/1/2005 and was last updated on 1/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD8019	TENNESSEE	Yes
2	174400000X	Specialist		0008019	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B02843	MEDICARE UPIN	TENNESSEE
2	B02843	MEDICARE UPIN
3	3160750	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
4	1508364	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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