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JACK R CROWDER M.D.
NPI 1447214382
Obstetrics & Gynecology in Kingsport, TN

Active since April 17, 2006
2002 BROOKSIDE DR, SUITE 300, KINGSPORT, TN 37660(423) 392-6370(423) 392-6736 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jack R Crowder M.d. NPPES

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

JACK R CROWDER M.D. (NPI 1447214382) is an individual obstetrics & gynecology provider in Kingsport, Tennessee, licensed in Tennessee (MD07408) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1447214382
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJACK R CROWDERCredential: M.D.
Location Address2002 BROOKSIDE DR, SUITE 300Kingsport, TN 37660-4634
Mailing Address2002 Brookside Dr, Suite 300Kingsport, TN 37660-4634 · (423) 392-6370 · Fax (423) 392-6736
Phone(423) 392-6370
Fax(423) 392-6736
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateAugust 30, 2010
✔ NPI 1447214382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · MD07408
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2002 BROOKSIDE DR, Kingsport, TN 37660
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Other Identifiers 5

Medicare ID-Type Unspecified3160029TN
OtherTN01L6TN · John Deere
Medicare UPINB02805
Other2005847TN · Bcbs
Medicaid3160026TN

Other Providers at the Same Location NPPES 20

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

MRS. MICHELLE R ESTES MD
Pediatrics
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
MRS. SUSAN WATTS JEANSONNE MD
Pediatrics
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
DR. STEVEN C BUTLER M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
DR. SHELDON H FISHER DO
Obstetrics & Gynecology
2002 BROOKSIDE DR, STE 300
KINGSPORT, TN 37660
Sullivan County (423) 392-6370
MRS. CINDY SUE BUTLER N.P.
Nurse Practitioner
2002 BROOKSIDE DR, SUITE102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Specialist
2002 BROOKSIDE DR, SUITE 300A
KINGSPORT, TN 37660
Sullivan County (423) 232-6900
DR. ABRAR AHMAD M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
DR. NATASHA BENFIELD GOUGE PHD
Psychologist (Clinical)
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933

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 Jack Crowder's NPI number?

The NPI number for Jack Crowder is 1447214382. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Jack Crowder located?

Jack Crowder practices at 2002 Brookside Dr Suite 300, Kingsport, TN 37660. The listed phone number is (423) 392-6370.

What is Jack Crowder's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Jack Crowder was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.