AMG-CROCKETT, LLC (NPI# 1578836011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578836011 |
| Entity Type | Organization |
| Organization Name | AMG-CROCKETT, LLC |
| Other Organization Name | LAWRENCE COUNTY SURGICAL SERVICES |
| Practice Address |
1605 S Locust Ave Suite 201 Lawrenceburg TN 38464-4061 |
| Mailing Address |
Po Box 248 Lawrenceburg TN 38464-0248 |
| Practice Telephone | 9317668525 |
| Mailing Telephone | 9317668525 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-17 |
| Authorized Official Name | MICHAEL CLARK (DIVISION PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 48076 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lawrence County Surgical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1811543929 | Amg-crockett, LLC | Clinic/Center | 722 N Military St, Loretto, TN 38469-2336 | 2019-08-14 |
| 1144593658 | Amg-crockett, LLC | Obstetrics & Gynecology | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1043475700 | Amg-crockett, LLC | Psychiatry & Neurology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2008-07-22 |
| 1689843153 | Amg-crockett, LLC | Family Medicine | 184 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2008-02-28 |
| 1912125600 | Amg-crockett, LLC | Urology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2007-04-20 |
| Street Address |
1605 S LOCUST AVE SUITE 201 |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-4061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194786129 | Neurology Associates | Psychiatry & Neurology | 1605 S Locust Ave, Lawrenceburg, TN 38464-4053 | 2006-03-29 |
| 1902284466 | Mattea Katarena Butler | Specialist/Technologist | 1605 S Locust Ave, Lawrenceburg, TN 38464-4061 | 2015-05-15 |
| 1144593658 | Amg-crockett, LLC | Obstetrics & Gynecology | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4061 | 2012-02-14 |
| 1528336286 | Amg Crockett, LLC | Surgery | 1605 S Locust Ave, Lawrenceburg, TN 38464-4061 | 2011-12-09 |
| 1457666372 | Amg Crockett LLC | Orthopaedic Surgery | 1605 S Locust Ave, Suite 101, Lawrenceburg, TN 38464-4061 | 2010-08-16 |
| 1730492737 | Amg Crockett, LLC | Surgery | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4061 | 2010-07-19 |
| 1437477700 | Amanda D Haneline | Obstetrics & Gynecology | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4061 | 2010-05-12 |
| 1467694133 | Penny S. Mediate, M.d., P.C. | Family Medicine | 1605 S Locust Ave, Suite 102, Lawrenceburg, TN 38464-4053 | 2009-03-27 |
| 1568627214 | Angella Marie Bowden | Nurse Practitioner | 1605 S Locust Ave, Ste 200, Lawrenceburg, TN 38464-4061 | 2008-07-22 |
| 1043475700 | Amg-crockett, LLC | Psychiatry & Neurology | 1605 S Locust Ave, Suite 103, Lawrenceburg, TN 38464-4053 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
| 1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
| 1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
| 1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
| 1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
| 1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
| 1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
| 1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
| Find all providers in zip 38464 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518227040 | Michael Quang-minh Huynh | Surgery | 192 Prosser Rd, Lawrenceburg, TN 38464-4233 | 2012-05-17 |
| 1932482122 | Michael A Boyd Md PC | Surgery | 1240 1st Ave, Lawrenceburg, TN 38464-2704 | 2011-09-23 |
| 1326244336 | Lawrenceburg Surgical Care, Pllc | Surgery | 1321 S Locust Ave, Lawrenceburg, TN 38464-4040 | 2007-06-26 |
| 1740281674 | Mark R Mcandrew | Surgery | 368 Bielby Rd, Suite 100, Lawrenceburg, IN 47025-2774 | 2005-08-02 |
| 1427300615 | Steven Samuel Weber | Surgery | 368 Bielby Rd, Lawrenceburg, IN 47025-1099 | 2012-10-11 |
| 1528336286 | Amg Crockett, LLC | Surgery | 1605 S Locust Ave, Lawrenceburg, TN 38464-4061 | 2011-12-09 |
| 1730492737 | Amg Crockett, LLC | Surgery | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4061 | 2010-07-19 |
| 1275706541 | Jerry Lee Howard II | Surgery | 1605 S Locust Ave, Suite 200, Lawrenceburg, TN 38464-4053 | 2008-04-08 |
| 1215059506 | Shannon Michelle Davis | Surgery | 368 Bielby Rd, Suite 100, Lawrenceburg, IN 47025-2774 | 2007-04-06 |
| 1073695243 | Dearborn County Surgery PC | Surgery | 368 Bielby Rd, Suite 100, Lawrenceburg, IN 47025-1099 | 2006-10-19 |
| Find all providers in LAWRENCEBURG | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
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| 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.