MR. JERRY A. CRUMP (NPI# 1942301072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942301072 |
| Entity Type | Individual |
| Full Name | MR. JERRY A. CRUMP |
| Credential | C.R.N.F.A. |
| Practice Address |
2749 Park West Dr Cookeville TN 38501-5606 |
| Mailing Address |
Po Box 3661 Cookeville TN 38502-3661 |
| Practice Telephone | 9314320540 |
| Practice Fax Number | 9314320540 |
| Mailing Telephone | 9314320540 |
| Mailing Fax Number | 9314320540 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
104144 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2749 PARK WEST DR |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649202102 | Cookeville Regional Medical Group, Inc | Physician Assistant | 127 N Oak Ave, Suite D, Cookeville, TN 38501-2435 | 2006-07-07 |
| 1265480867 | Steven Bickel | Physician Assistant | 228 W 4th St, Suite 301, Cookeville, TN 38501-2488 | 2006-05-05 |
| 1164497509 | Debbie L Williams | Physician Assistant | 406 N Whitney Ave Ste 5, Cookeville, TN 38501-4243 | 2006-02-21 |
| 1912986829 | Julianne F Buckner | Physician Assistant | 105 S Willow Ave, Suite 200, Cookeville, TN 38501-3138 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987446 | Caleb Stephens | Physician Assistant | 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 | 2020-06-17 |
| 1609308246 | Robert Bryan Whisenhunt | Physician Assistant | Po Box 205, Tullahoma, TN 37388-0205 | 2017-04-02 |
| 1841744331 | Jessica Leigh Cochran | Physician Assistant | 188 16th Ave Ste 107, Dayton, TN 37321-1037 | 2016-08-12 |
| 1841690096 | Arun Alex | Physician Assistant | 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 | 2014-08-25 |
| 1174932107 | Stephen Steffey | Physician Assistant | 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 | 2014-08-04 |
| 1932450301 | Martha Pamela Guel | Physician Assistant | 2681 Honey Hill Rd, Knoxville, TN 37924-1159 | 2012-09-26 |
| 1912296468 | Richard Terry Washington Jr. | Physician Assistant | 5108 Singing Hills Dr, Antioch, TN 37013-5694 | 2011-04-05 |
| 1578889549 | Caryn Louise Mohr | Physician Assistant | 1635 Kimbrough Park Pl, Germantown, TN 38138-2306 | 2010-04-14 |
| 1578895546 | Carl H. Harris | Physician Assistant | 6946 Finch Rd, Memphis, TN 38141-8598 | 2010-02-02 |
| 1144463936 | Marcus S. Burns | Physician Assistant | 2010 Church St Ste 700, Nashville, TN 37203-2072 | 2009-04-09 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on MR. JERRY A. CRUMP.
| 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.