Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25960 | TN |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 25960 | TN |
NPI | 1790760015 |
---|---|
Provider Name | Dr. John Jay Crawford |
First Address | Knoxville, TN 37909-1293 |
Second Address | Knoxville, TN 37922-3355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 20/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9602776 | CIGNA (01) | |
9627057 | AETNA (01) | |
H16133 | (02) | NC |
P00995322 | RAILROAD MEDICARE (01) | TN |
TN01N3 | UNITED HEALTHCARE (01) |