NPIMap

Organization Active NPI

Jane Todd Crawford Memorial Hospital, Inc.

Doing business as Jane Todd Crawford Hospital Anesthetist Group

  • Anesthesiology Physician
  • Greensburg, KY
National Provider Identifier
1154585289
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
600077 Issued in KY
Legal business name
JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
Doing business as
Jane Todd Crawford Hospital Anesthetist Group
Practice address
202-206 Milby Street
Greensburg, KY 42743-1100
Phone
(270) 932-4211
Fax
(270) 299-2041
NPI assigned
Jul 17, 2008
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. Rex A Tungate
Title
Ceo/Administrator
Phone
(270) 384-4753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 600077 KY Primary

Addresses

Primary practice location

202-206 Milby Street
Greensburg, KY 42743-1100

Mailing address

202-206 Milby Street
Greensburg, KY 42743-1100
Phone (270) 932-4211

Other names 1

  • Jane Todd Crawford Hospital Anesthetist Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080613000060 KY Part B Supplier - Clinic/Group Practice 5092810994 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greensburg, KY

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

290 Industrial Park Rd
Greensburg, KY 42743
Phone (270) 634-1921

706 Columbia Hwy
Greensburg, KY 42743
Phone (270) 299-2286

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1154585289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202-206 MILBY STREET",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427431100",
            "telephone_number": "270-932-4211",
            "fax_number": "270-299-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202-206 MILBY STREET",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427431100",
            "telephone_number": "270-932-4211",
            "fax_number": "270-299-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "TUNGATE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "270-384-4753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "600077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jane Todd Crawford Hospital Anesthetist Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.