MR. RANDAL L CROSHAW


Address: 200 Bmh Cancer Ctr, Maryville, TN 37804-5922
Phone: 8659805277

MR. RANDAL L CROSHAW (NPI# 1538283007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538283007
Entity Type Individual
Full Name MR. RANDAL L CROSHAW
Credential MD
Practice Address 200 Bmh Cancer Ctr
Maryville
TN 37804-5922
Mailing Address 103 W Broadway Ave
Maryville
TN 37801-4703
Practice Telephone 8659805277
Practice Fax Number 8659805278
Mailing Telephone 8652731752
Mailing Fax Number 8652731755
Enumeration Date 2007-03-19
Last Update Date 2017-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery MD0000054909 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN Q023731 05

Office Location

Street Address 200 BMH CANCER CTR
City MARYVILLE
State TN
Zip Code 37804-5922

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659835825 Matthew David Mallory Physical Therapist Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 2019-01-22
1063937290 Rachel Ryan Mcmillan Counselor 362 High Street, Maryville, TN 37804 2017-08-09
1316461460 Steven Casey Boring Nurse Practitioner 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 2017-07-31
1851738751 Robert Kane Mccall Pathology 250 E. Broadway, Maryville, TN 37804 2013-05-31
1619242849 Jennifer Mcclements Physical Therapy Assistant 4004 Samuel Circle, Maryville, TN 37804 2012-03-21
1316223886 Sabrina Nicole Powers Social Worker 1704 East Broadway, Maryville, TN 37804 2011-10-28
1407138381 Russmann, Inc. Ambulance 4163 Benny Delozier Drive, Maryville, TN 37804 2011-09-15
1184932485 Complete Family Care of Maryville, Pllc Internal Medicine 2004 E. Broadway, Maryville, TN 37804 2010-09-21
1093975096 Kristi Clark Correll Speech-Language Pathologist 2030 East Lamar Alexander Parkway, Maryville, TN 37804 2008-06-12
1134388267 Barbara Frantz Poulsen Speech-Language Pathologist 2030 E Lamar Alexander Parkway, Maryville, TN 37804 2008-06-04
Find all providers in zip 37804

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043425481 Surgical Specialists of Tennessee, Plc Surgery 1111 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 2007-05-11
1053452425 Melissa Emlyn Trekell Surgery 1111 E. Lamar Alexander Parkway, Maryville, TN 37804-5130 2007-02-09
1740364173 Sps Surgical Services, Sc Surgery 6810 State Route 162 Ste 10, Maryville, IL 62062-8501 2006-10-24
1053349084 Budayr & Associates Surgery 405 Bmh Cancer Center, Maryville, TN 37804-5134 2006-06-29
1720055148 Daniel Steven Johnson Surgery 6810 State Route 162 Ste 100, Maryville, IL 62062-8560 2006-03-03
1912908146 Mahdi M Budayr Surgery 405 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 2005-08-10
1043713886 Mercy Clinic Surgical Specialists-illinois LLC Surgery 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 2018-03-16
1356762447 Serenity Surgery Surgery 2227 Vadalabene Dr, Maryville, IL 62062-5823 2013-12-17
1790117596 Hania B Bednarski Do Sc Surgery 2227 Vadalabene Dr, Suite 300, Maryville, IL 62062-5823 2013-08-02
1093026627 Stephen E Pacifico Surgery 250 Bmh Physicians Office Bldg, Maryville, TN 37804-5904 2010-06-29
Find all providers in MARYVILLE

Competitor

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City MARYVILLE
Zip Code 37804

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Dataset Information

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.

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