THEODORE W MCCRARY PAC
NPI 1356334973
Physician Assistant in Knoxville, TN

Active since August 30, 2005
301 S GALLAHER VIEW RD STE 224, KNOXVILLE, TN 37919(865) 951-2012(865) 951-2575 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore W Mccrary Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE W MCCRARY PAC (NPI 1356334973) is an individual physician assistant in Knoxville, Tennessee, licensed in Tennessee (560) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1356334973
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHEODORE W MCCRARYCredential: PAC
Location Address301 S GALLAHER VIEW RD STE 224Knoxville, TN 37919-5361
Mailing Address301 S Gallaher View Rd Ste 224Knoxville, TN 37919-5361 · (865) 951-2012 · Fax (865) 951-2575
Fax(865) 951-2575
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateJanuary 8, 2013
NPI 1356334973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 560
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

301 S GALLAHER VIEW RD STE 224, Knoxville, TN 37919

Other Identifiers 4

Medicare ID-Type Unspecified3666869
Medicare UPINS34097
Medicaid3666869TN
Medicare NSC0677340001TN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Contractor
301 S GALLAHER VIEW RD STE 224
KNOXVILLE, TN 37919
Social Worker (Clinical)
301 S GALLAHER VIEW RD STE 224
KNOXVILLE, TN 37919
Social Worker (Clinical)
301 S GALLAHER VIEW RD STE 224
KNOXVILLE, TN 37919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Mccrary's NPI number?

The NPI number for Theodore Mccrary is 1356334973. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Theodore Mccrary located?

Theodore Mccrary practices at 301 S Gallaher View Rd Ste 224, Knoxville, TN 37919. The listed phone number is (865) 951-2012.

What is Theodore Mccrary's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Theodore Mccrary was last updated on January 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.