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SAMUEL JOHN CRUTCHER M.D. NPI 1124150016


NPI Information

NPI: 1124150016
Provider Name: SAMUEL JOHN CRUTCHER, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1407 W. BADDOUR PARKWAY
LEBANON, TN
ZIP 37087
Phone: (615) 444-6203
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Samuel John Crutcher, M.D. is a family medicine in Lebanon, TN with 18 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Samuel John Crutcher, M.D. NPI is 1124150016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

1407 W. BADDOUR PARKWAY
LEBANON, TN
ZIP 37087-513
Phone: (615) 444-6203
Fax: (615) 444-6252

The NPI 1124150016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/9/2011.


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
1207Q00000XFamily Medicine29024SOUTH CAROLINANo
2207Q00000XFamily Medicine45549TENNESSEEYes

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 Other Provider Identifier Issuer
111970229OTHERTENNESSEECAQH
24272184OTHERTENNESSEEBCBS
3MD45549OTHERTENNESSEELICENSE
43035474OTHERTENNESSEEUHC
5290241MEDICAIDSOUTH CAROLINA
61522977MEDICAIDTENNESSEE
729024OTHERSOUTH CAROLINALICENSE
8103I085659MEDICARE PINTENNESSEE
97919136OTHERTENNESSEECIGNA
10AA38962353MEDICARE PINSOUTH CAROLINA
11AA38967579MEDICARE PINSOUTH CAROLINA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.