Jane Todd Crawford Memorial Hospital, Inc.
Organization Active NPI Anesthesiology Physician · Greensburg, KY
NPI 1154585289 · NPPES record last updated Jul 17, 2008
Key facts
- NPI
- 1154585289
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 600077 (KY)
- Legal business name
- JANE TODD CRAWFORD MEMORIAL HOSPITAL, INC.
- Practice address
- 202-206 Milby Street
Greensburg, KY 42743-1100 - Phone
- (270) 932-4211
- Fax
- (270) 299-2041
- NPI assigned
- Jul 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Rex A Tungate
- Title
- Ceo/Administrator
- Phone
- (270) 384-4753
Other NPIs on the same Medicare enrollment 3
Practitioners 25
-
William Ardrey, M.D.
-
Glenda Darlene Bagby, ARNP-BC, MSN, CEN
-
Briana Boyd, MD
-
Tara Hope Henson, MD
-
Howard S Lefsky, M.D.
-
Brent A. Madison, M.D.
-
Adil M Mohiuddin, M.D.
-
Gary L Partin, M.D.
-
Michael C Partin, DNP, APRN
-
Robert T Picard, PA-C
-
Siby Sebastian, MD
-
William Ronald Shanks, M.D.
-
Eugene Herman Shively, M.D.
-
David Sindler, M.D.
-
Borzou Azima, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
202 Milby St
#206
Greensburg, KY 42743
Phone (270) 932-4211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | 600077 | KY | Yes |
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
- Jane Todd Crawford Hospital Anesthetist Group
Other providers in Greensburg, KY
- Cassie Huber
- Roxie Hunt
- Jane Todd Crawford Memorial Hospital Inc.
- Jane Todd Crawford Memorial Hospital Inc.
- Jane Todd Crawford Memorial Hospital, Inc.
- Jane Todd Crawford Memorial Hospital, Inc.
- Jane Todd Crawford Memorial Hospital, Inc.
- Jane Todd Crawford Memorial Hospital, Inc.
- Jane Todd Crawford Memorial Hospital, Inc.
- Jane Todd Crawford Memorial Hospital, Inc.
All providers in Greensburg, KY · Anesthesiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.