Jack Byron Crider
M.D. | Pediatrics | Male
Jack Byron Crider, M.D. is a Pikeville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jack Byron Crider is
387 Town Mountain Rd, Ste 202, Pikeville, Kentucky - 41501-1640. He can be contacted on phone at
606-437-1008 and fax number 606-437-5040.
Jack Byron Crider is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack Byron Crider is
1437145091 which was assigned by NPPES on 20 Sep, 2005 and it was last updated on 12 Jun, 2013.
Jack Byron Crider license number is
35982 for Pediatrics (208000000X) in Kentucky.
Jack Byron Crider is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jack Byron Crider basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jack Byron Crider |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Jack Byron Crider address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 387 Town Mountain Rd, Ste 202
Pikeville, KY, 41501-1640
United States |
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| Phone Number : | 606-437-1008 |
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| Fax Number : | 606-437-5040 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1437145091 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2005 |
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| Last Updated On : | 12 Jun, 2013 |
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Medicare Participation:
Jack Byron Crider participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3678701141 |
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| Medicare Enrollment ID : | I20140107000809 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Kentucky College Of Medicine |
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| Graduation Year : | 1998 |
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| Accepts Medicare? | Yes. Jack Byron Crider accepts medicare insurance. |
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Group Practice Association:
Jack Byron Crider is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jack Byron Crider is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Spero Health Of Kentucky, Llc | 1052792041 | 41 | 7160 N Mayo Trl
Pikeville, KY - 415013151
Ph: 6066579988 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Byron Crider are as mentioned. Primary taxonomy code for Jack Byron Crider, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 35982 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Jack Byron Crider such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1812140000 | MEDICAID | WV | |
| 64031610 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 387 Town Mountain Rd, Ste 202
Pikeville, KY, 41501-1640
United States |
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| Phone Number : | 606-437-1008 |
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| Fax Number : | 606-437-5040 |
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Business Location:
Patients can refer following map for directions to
Jack Byron Crider practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.