Organization Active NPI

Catron Skin Care Center, PC

  • Family Medicine Physician
  • Crossville, TN
National Provider Identifier
1326114679
Registry record updated Jan 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3722868MedicaidTN

Other names 1

  • Cumberland Skin & Vein Center Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.