Active NPI
Jack Crawford, CSA, CST
- Surgical Assistant
- Franklin, TN
National Provider Identifier
1013345453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 10-227
- Practice address
- 3121 Brimstead Dr
Franklin, TN 37064-6225 - Phone
- (615) 775-8953
- NPI assigned
- Oct 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 10-227 | TN | Primary |
Addresses
Primary practice location
3121 Brimstead Dr
Franklin, TN 37064-6225
Mailing address
3121 Brimstead Dr
Franklin, TN 37064-6225
Phone (615) 775-8953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10-227 | TN | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1013345453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 BRIMSTEAD DR",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370646225",
"telephone_number": "615-775-8953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 BRIMSTEAD DR",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370646225",
"telephone_number": "615-775-8953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JACK",
"credential": "CSA, CST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-22",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TN",
"license": "10-227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.