MR. CRAIG K GILCREASE PA-C NPI 1265581185

NPI Information

NPI: 1265581185
Provider Name: MR. CRAIG K GILCREASE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: SOUTHWEST MEDICAL ASSOCIATES, LLC

PECOS Registration: Yes

Address:
502 ELM ST NE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 841-1000
Get Directions

MR. Craig K Gilcrease, PA-C is a surgical physician assistant in Albuquerque, NM with 21 years of experience. MR. Craig K Gilcrease, PA-C NPI is 1265581185. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

502 ELM ST NE
ALBUQUERQUE, NM
ZIP 87102-512
Phone: (505) 841-1000
Fax: (505) 843-2592

The NPI 1265581185 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 1/9/2007 and was last updated on 8/1/2014.

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
1	363AS0400X	Physician Assistant	Surgical	PA2003-0047	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NM301392	MEDICARE PIN	NEW MEXICO
2	Z115717	MEDICARE PIN	ARIZONA
3	Q08774	MEDICARE UPIN
4	P00428450	OTHER	ARIZONA	RAILROAD MEDICARE
5	223634	MEDICAID	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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