BRENDA JANE CROWDER (NPI# 1801865324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801865324 |
| Entity Type | Individual |
| Full Name | BRENDA JANE CROWDER |
| Credential | M.D. |
| Practice Address |
2 Professional Park Dr Suite 21 Johnson City TN 37604-6583 |
| Practice Telephone | 4239268813 |
| Practice Fax Number | 4239268910 |
| Mailing Telephone | 4239268813 |
| Mailing Fax Number | 4239268910 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2010-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD17907 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | 160055035 | 01 |
| TN | 0327017 | 05 | |
| TN | CIGNA | 2178946 | 01 |
| NC | 890523K | 05 | |
| TN | JOHN DEERE COMMERICAL INS | TN0101 | 01 |
| TN | BCBS OF TENNESSEE | 3131685 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174013197 | Brenda L Crowder | Physician Assistant | 1 Hospital Dr, Massena, NY 13662 | 2018-05-15 |
| 1336317312 | Brenda Crowder | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2119 | 2008-02-13 |
| Street Address |
2 PROFESSIONAL PARK DR SUITE 21 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447236849 | Christopher J Downs | Internal Medicine | 2 Professional Park Dr, Suite 15, Johnson City, TN 37604-6583 | 2005-12-16 |
| 1073801072 | Blue Ridge Medical Management Corporation | Psychiatry & Neurology | 2 Professional Park Dr, Suite 15, Johnson City, TN 37604-6583 | 2011-07-12 |
| 1750578613 | Rosemary Mccarthy | Obstetrics & Gynecology | 2 Professional Park Dr, Suite 21, Johnson City, TN 37604-6583 | 2007-09-25 |
| 1124165345 | Vascular Surgical Associates, P. C. | Specialist | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6583 | 2007-01-30 |
| 1093826141 | John Mcclellan Miller, Md | Obstetrics & Gynecology | 2 Professional Park Dr, Suite 21, Johnson City, TN 37604-6583 | 2006-08-31 |
| 1447264361 | Jennifer C. Wisdom-schepers | Psychiatry & Neurology | 2 Professional Park Dr, Ste 15, Johnson City, TN 37604-6583 | 2006-07-28 |
| 1528091386 | Johnson City Ob/gyn Associates | Obstetrics & Gynecology | 2 Professional Park Dr, Suite 21, Johnson City, TN 37604-6583 | 2006-07-07 |
| 1669441341 | Jeffrey Taylor Hinton | Obstetrics & Gynecology | 2 Professional Park Dr, Suite 21, Johnson City, TN 37604-6583 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053785550 | Lee Medical PC | Obstetrics & Gynecology | 41 Arch St, Johnson City, NY 13790-2101 | 2015-11-20 |
| 1881608693 | Roland Keith Huffaker | Obstetrics & Gynecology | 1319 Sunset Dr, Suite 103, Johnson City, TN 37604 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056036 | Modern Gynecology and Reproductive Health PC | Obstetrics & Gynecology | 1407 Union Ave Ste 1401, Memphis, TN 38104-3667 | 2019-07-27 |
| 1598206336 | Stephen Merrick Mintz | Obstetrics & Gynecology | 3124 Natoma Cir, Thompsons Station, TN 37179-9605 | 2017-03-13 |
| 1487190914 | Hormones 4 Life LLC | Obstetrics & Gynecology | 3172 Waterfront Dr, Chattanooga, TN 37419-1541 | 2017-01-08 |
| 1972928604 | Eugene Rudd | Obstetrics & Gynecology | 125 Ashewood Dr, Bristol, TN 37620-5939 | 2014-03-05 |
| 1164793105 | James Thurman | Obstetrics & Gynecology | 5160 Mouse Creek Rd Nw, Cleveland, TN 37312-3228 | 2012-01-23 |
| 1881964815 | David Anthony Rueff | Obstetrics & Gynecology | 7621 Carpenter Rd, Knoxville, TN 37931-1122 | 2012-01-06 |
| 1164724878 | Norman Arnold Mckinnon Jr. | Obstetrics & Gynecology | 911 Scarlett Oaks Rd, Maryville, TN 37801-7403 | 2010-12-01 |
| 1477866820 | New South Medical Enterprises | Obstetrics & Gynecology | 2503 Highway 41a Byp, Clarksville, TN 37043-3902 | 2010-07-14 |
| 1609195965 | Fields Center for Womans Health & Robotic Surgery Pllc | Obstetrics & Gynecology | 10810 Parkside Dr Ste 306, Knoxville, TN 37934 | 2010-05-26 |
| 1396987491 | Kalyani Medicherla Kumar | Obstetrics & Gynecology | 411 Sewell Dr, Sparta, TN 38583-1223 | 2009-04-03 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.