Jefferson Ward Crosier, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD8019 Issued in TN

Practice address

753 Humble Dr
Ste B
Cookeville, TN 38501-4202

Phone

(931) 520-1800

Fax

(931) 520-1844

NPI assigned

Jun 1, 2005

Last updated

Jan 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cookeville Regional Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Cookeville, TN
  • NPI 1649202102
  NPD (past)
• CRMC Mso Sub 1, Incorporated

  dba Tennessee Heart

  • Specialist
  • Cookeville, TN
  • NPI 1972648319
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1962404228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 HUMBLE DR",
            "address_2": "STE B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014202",
            "telephone_number": "931-520-1800",
            "fax_number": "931-520-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 HUMBLE DR",
            "address_2": "STE B",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014202",
            "telephone_number": "931-520-1800",
            "fax_number": "931-520-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSIER",
        "first_name": "JEFFERSON",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "0008019",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD8019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508364",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Seager Crawford, PHARMD
• CRC Health Tennessee, Inc.
• Sandra Marie Crider
• CRMC Mso Sub 1, Incorporated (Tennessee Heart)
• John Duane Crody, NCC LPC-MHSP
• Bradley Leston Cross, PHARM.D.
• Jacob Cross
• Jearl Jerri Cross, ED.S,LPC/MHSP, CPSII
• Crossroads Urgent Care PLLC (Urgent Team)
• Philip Crowder Jr., MMFT

• Specialist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.