Active NPI
Catron Skin Care Center, PC
- Family Medicine Physician
- Crossville, TN
National Provider Identifier
1326114679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CATRON SKIN CARE CENTER, PC
- Practice address
- 3496 N Main St
Crossville, TN 38555-5424 - Phone
- (931) 456-5331
- Fax
- (931) 456-5332
- NPI assigned
- Nov 28, 2006
- Last updated
- Jan 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie L. Catron, MD
- Title
- President
- Phone
- (931) 456-5331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
3496 N Main St
Crossville, TN 38555-5424
Mailing address
3496 N Main St
Crossville, TN 38555-5424
Phone (931) 456-5331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3722868 | Medicaid | TN |
Other names 1
- Cumberland Skin & Vein Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199491200000",
"number": "1326114679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3496 N MAIN ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385555424",
"telephone_number": "931-456-5331",
"fax_number": "931-456-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3496 N MAIN ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385555424",
"telephone_number": "931-456-5331",
"fax_number": "931-456-5332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATRON SKIN CARE CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2008-01-05",
"status": "A",
"authorized_official_last_name": "CATRON",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "931-456-5331",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3722868",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cumberland Skin & Vein Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.