Samuel J Crutcher (NPI# 1124150016, PAC ID# 7618020223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124150016 |
| PAC ID by PECOS | 7618020223 |
| Professional Enrollment ID | I20100831000775 |
| Full Name | Samuel J Crutcher |
| Organization Legal Name | FAMILY MEDICAL PC |
| Address |
1407 Baddour Pkwy Lebanon TN 37087-0001 |
| Phone Number | 6154446203 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486544970 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440150 | TRISTAR SUMMIT MEDICAL CENTER |
| 440193 | TENNOVA HEALTHCARE-LEBANON |
| Address | Phone | Organization |
|---|---|---|
| 1407 Baddour Pkwy, Lebanon, TN 37087-0001 | 6154446203 | FAMILY MEDICAL PC |
| Organization Legal Name | FAMILY MEDICAL PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Kincaid | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Bernard T. Sy | Internal Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Roger Earl Mckinney | Family Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| George William Robertson Sr. | General Surgery | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Jason L Black | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Erin Mcculloch Crisp | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Lindsey Nicole Lattimore | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Benita K. Qualls | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Anna K Locke | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Sara M Dicken | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Street Address |
1407 BADDOUR PKWY |
| City | LEBANON |
| State | TN |
| Zip | 37087-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Kincaid | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Bernard T. Sy | Internal Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Roger Earl Mckinney | Family Medicine | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| George William Robertson Sr. | General Surgery | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Jason L Black | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Erin Mcculloch Crisp | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Lindsey Nicole Lattimore | Nurse Practitioner | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Benita K. Qualls | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Anna K Locke | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Sara M Dicken | Physician Assistant | Family Medical PC | 1407 Baddour Pkwy, Lebanon, TN 37087-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Adam Roberson | Occupational Therapy | Premier Orthopaedics and Sports Medicine Plc | 100 Physicians Way, Suite 110, Lebanon, TN 37087 |
| Brittany Williams | Physical Therapy | Premier Orthopaedics and Sports Medicine Plc | 100 Physicians Way, Suite 110, Lebanon, TN 37087 |
| Jane S Pierce | Nurse Practitioner | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 | |
| Laura J Young | Nurse Practitioner | American Behavioral Consultants | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 |
| Sophie M Stein | Nurse Practitioner | American Behavioral Consultants | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 |
| Bethany A Malugin | Nurse Practitioner | American Behavioral Consultants | 1432 W Main St, Lebanon, TN 37087-1323 |
| Justin L Groce | Nurse Practitioner | Bradshaw Health, Pllc | 115 Winwood Dr, Suite 105, Lebanon, TN 37087-1343 |
| Joseph A Trombley | Physician Assistant | Bradshaw Health, Pllc | 115 Winwood Dr, Suite 105, Lebanon, TN 37087-1343 |
| Brenda Mcfarlin | Nurse Practitioner | Bradshaw Health, Pllc | 115 Winwood Dr, Suite 105, Lebanon, TN 37087-1343 |
| Valarie Dalton | Nurse Practitioner | Community Quick Care of Lavergne, PC | 1670 W Main St, Suite 140, Lebanon, TN 37087-1344 |
| Find all physicians in zip 37087 | |||
| City | LEBANON |
| Zip Code | 37087 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEBANON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samuel J Crutcher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.