Dr. John A Crouch
Cardiothoracic Vascular Surgeon
200 Saint Marys Medical Plz Suite 203
Jefferson City
, Missouri 65101-1604
Dr. John A Crouch
Cardiothoracic Vascular Surgeon
200 Saint Marys Medical Plz Suite 203
Jefferson City
, Missouri 65101-1604
(573) 761-7196
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. John A Crouch
- 200 Saint Marys Medical Plz Suite 203
- Jefferson City, MO
- Zip : 65101-1604
- Fax : (573) 761-7196
- Phone : (573) 761-7243
Second Address
- Dr. John A Crouch
- 200 Saint Marys Medical Plz Suite 203
- Jefferson City, MO
- Zip : 65101-1604
- Fax : (573) 761-7196
- Phone : (573) 761-7243
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 34746 | MO |
National Provider Identifier
| NPI | 1003845405 |
|---|---|
| Provider Name | Dr. John A Crouch |
| First Address | Jefferson City, MO 65101-1604 |
| Second Address | Jefferson City, MO 65101-1604 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 28/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200582252 | (05) | MS |
| A10959 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.