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ADAM KEMP CRANDELL DO NPI 1194393868


NPI Information

NPI: 1194393868
Provider Name: ADAM KEMP CRANDELL, DO
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
CANYON VISTA MEDICAL CENTER 5700 E HIGHWAY 90
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 263-3161
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Adam Kemp Crandell, DO is a general practice in Sierra Vista, AZ with 3 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Adam Kemp Crandell, DO NPI is 1194393868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduation Year:2021

The provider's business location address is:

CANYON VISTA MEDICAL CENTER 5700 E HIGHWAY 90
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 263-3161

The NPI 1194393868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 4/16/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2208D00000XGeneral Practice010101ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.