Crossway Medical Services

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

34250 Issued in TN

Legal business name

CROSSWAY MEDICAL SERVICES

Practice address

2910 South Church Street
Suite a
Murfreesboro, TN 37127-7149

Phone

(615) 895-3600

Fax

(615) 895-0024

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Jack D Hydrick II, NP

Title

Provider/Owner

Phone

(615) 895-3600

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1578848693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 SOUTH CHURCH STREET",
            "address_2": "SUITE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277149",
            "telephone_number": "615-895-3600",
            "fax_number": "615-895-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 SOUTH CHURCH STREET",
            "address_2": "SUITE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277149",
            "telephone_number": "615-895-3600",
            "fax_number": "615-895-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWAY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "HYDRICK",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "615-895-3600",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": "34250",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7765",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN15544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891742904",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crossroads Treatment Centers of Tennessee, P.C.
• Crossroads Urgent Care PLLC
• Crossroads Urgent Care PLLC
• Crossroads Urgent Care, PLLC
• Crossroads Urgent Care, PLLC
• Summer Crouch, RD, LDN
• Chad E Crouse, MA
• Shandie Jo Crow, LCSW
• Jessica Haynes Crowder, MD
• Rachel Crowell

• General Practice Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.