Martin Thomas Krecker, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD0000029095 Issued in TN

Practice address

5022 Old Godsey LN
Suite 10
Hixson, TN 37343-6600

Phone

(423) 870-0558

Fax

(423) 870-4513

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003894148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 OLD GODSEY LN",
            "address_2": "SUITE 10",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436600",
            "telephone_number": "423-870-0558",
            "fax_number": "423-870-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 OLD GODSEY LN",
            "address_2": "SUITE 10",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436600",
            "telephone_number": "423-870-0558",
            "fax_number": "423-870-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRECKER",
        "first_name": "MARTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "MD0000029095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Kirkman
• Tyler Kitchens, PHARM. D., R.P.H.
• Kiva Crutcher
• Ashley Kline
• Kevin Kostka, P.T.
• Prabha A Kunda, M.D.
• Nicole A Lacey
• Jennifer Lake, LMT
• Kimberly Michelle Lancaster, ATC
• Roger Lynn Land, M.D.

• Legal Medicine in Hixson, TN
• Providers in Hixson, TN by specialty
• Legal Medicine in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.