DR. CRAIG M HAIRE (NPI# 1528060720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528060720 |
| Entity Type | Individual |
| Full Name | DR. CRAIG M HAIRE |
| Credential | M.D. |
| Practice Address |
401 E Main St Johnson City TN 37601-4877 |
| Practice Telephone | 4239292584 |
| Practice Fax Number | 4237222060 |
| Mailing Telephone | 4239292584 |
| Mailing Fax Number | 4237222060 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2014-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD0000020510 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3078956 | 05 |
| Street Address |
401 E MAIN ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566824 | Bendik Clark | Family Medicine | 401 E Main St, Johnson City, TN 37601-4877 | 2005-05-31 |
| 1205437647 | Reazyn Demoss | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2020-11-03 |
| 1396386165 | Michelle Elizabeth Jenkins | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2019-10-03 |
| 1427529551 | Kayla Beining | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2018-12-16 |
| 1205357977 | Joshua William Buck | Nurse Practitioner | 401 E Main St, Johnson City, TN 37604-5747 | 2017-07-03 |
| 1063962959 | Olivia Mckayla Barnett | Occupational Therapy Assistant | 401 E Main St, Johnson City, TN 37601-4877 | 2016-10-04 |
| 1194274563 | Sharon Trager | Occupational Therapist | 401 E Main St, Johnson City, TN 37601-4877 | 2016-09-27 |
| 1255789889 | Myra Hale | Family Medicine | 401 E Main St, Johnson City, TN 37601-4877 | 2016-05-24 |
| 1689032666 | Lindsay Alexis Cox | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601 | 2016-02-04 |
| 1417320953 | Deanna Hensley | Nurse Practitioner | 401 E Main St, Johnson City, TN 37601-4877 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953648 | Balanced Medical Center Pllc | General Practice | 501 W Oakland Ave Ste 3, Johnson City, TN 37604-1667 | 2019-07-12 |
| 1639447303 | Circe Medical Services LLC | General Practice | 411 Princeton Rd., Suite 101, Johnson City, TN 37601 | 2011-12-08 |
| 1952626293 | Breehan Summer Dean | General Practice | 325 N. State of Franklin, Johnson City, TN 37614 | 2010-03-30 |
| 1285793174 | Donald Brett Wyche | General Practice | 2406 Susannah Street, Johnson City, TN 37601 | 2006-12-06 |
| 1811420656 | Thabit Al-khateeb | General Practice | 2109 W Market St, Johnson City, TN 37604-6024 | 2017-04-08 |
| 1700222585 | Mark David Linville Jr. | General Practice | 807 University Pkwy, Johnson City, TN 37614-6500 | 2013-05-20 |
| 1023131281 | Wyche & Wyche, M.d., P.C. | General Practice | 2406 Susannah St, Johnson City, TN 37601-1725 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807601 | The Point Surgical Pllc | General Practice | 1636 Madison St Ste C, Clarksville, TN 37043-4934 | 2020-06-26 |
| 1235754094 | Wound Pros Tennessee | General Practice | 3102 West End Avenue, Suite 400, Nashville, TN 37203-1623 | 2020-06-08 |
| 1528681194 | Lt360 Health Center P.a. | General Practice | 522 Brandies Cir Ste 2-b, Murfreesboro, TN 37128-7687 | 2020-05-18 |
| 1982243093 | The Franklin Clinic, LLC | General Practice | 1311 W Main St # 7, Franklin, TN 37064-3300 | 2020-01-06 |
| 1992342307 | Tennessee Spine Wellness & Medical Group LLC | General Practice | 470 Collier Dr, Sevierville, TN 37862-6931 | 2019-12-04 |
| 1326511676 | All About Health Medical, Pllc | General Practice | 2759 Highway 31 W Ste 2, White House, TN 37188-5246 | 2019-01-09 |
| 1912481870 | Kendall Elizabeth Bush | General Practice | 2416 21st Ave S Ste 101, Nashville, TN 37212-5310 | 2018-09-18 |
| 1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1417470501 | True Wellness Medical | General Practice | 6102 Shallowford Rd Ste 103, Chattanooga, TN 37421-1684 | 2017-07-20 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on DR. CRAIG M HAIRE.
| 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.