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NPI Code Detail

MEDICARE: DR. JOHN JAY CRAWFORD M.D.

MEDICARE: DR. JOHN JAY CRAWFORD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician25960TN
2207XP3100XPediatric Orthopaedic Surgery Physician25960TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00995322OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
29602776OTHERCIGNA
39627057OTHERAETNA
4TN01N3OTHERUNITED HEALTHCARE

General Provider Information

NPI Number : 1790760015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN JAY CRAWFORD M.D.
Provider Business Mailing Address
First Line : 8320 E WALKER SPRINGS LN STE 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-3120
Country : US
Telephone Number : 865-769-4500
Fax Number : 865-769-4501
Provider Business Practice Location Address
First Line : 260 FORT SANDERS WEST BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3355
Country : US
Telephone Number : 865-769-4545
Fax Number : 865-769-4501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 01/14/2026

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