Active NPI
Jan L Crean MD Facog OB/GYN PC
- Specialist
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036135
- Legal business name
- JAN L CREAN MD FACOG OB/GYN PC
- Practice address
- 603 Lake Way PL
Suite B
Tullahoma, TN 37388-4740 - Phone
- (931) 455-1177
- Fax
- (931) 461-3091
- NPI assigned
- May 3, 2010
- Last updated
- May 19, 2010
- Organization subpart
- Yes
- Parent organization
- JAN L CREAN MD FACOG OB/GYN PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jan L Crean
- Title
- President
- Phone
- (931) 455-1177
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036135 | TN | Primary |
Addresses
Primary practice location
603 Lake Way PL
Suite B
Tullahoma, TN 37388-4740
Mailing address
603 Lake Way PL
Suite B
Tullahoma, TN 37388-4740
Phone (931) 455-1177
Other names 1
- Jan L Crean MD FACOG Obstetrics & Gynecology
National Provider Directory
National Provider Directory- Part of
- Jan L Crean MD Facog OBGYN
Locations
603 Lake Way Pl
#B
Tullahoma, TN 37388
Phone (931) 455-1177
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Tullahoma, TN
- NPI 1790744456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274227200000",
"number": "1720305576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 LAKE WAY PL",
"address_2": "SUITE B",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373884740",
"telephone_number": "931-455-1177",
"fax_number": "931-461-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 LAKE WAY PL",
"address_2": "SUITE B",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373884740",
"telephone_number": "931-455-1177",
"fax_number": "931-461-3091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAN L CREAN MD FACOG OB/GYN PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JAN L CREAN MD FACOG OB/GYN PC",
"enumeration_date": "2010-05-03",
"last_updated": "2010-05-19",
"status": "A",
"authorized_official_last_name": "CREAN",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "931-455-1177"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "036135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jan L Crean MD FACOG Obstetrics & Gynecology",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.