OLIVIA HOCK CROFOOT NPI 1497544274

NPI Information

  • NPI: 1497544274
  • Provider Name: OLIVIA HOCK CROFOOT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 W HIGH ST
    DOWAGIAC, MI
    ZIP 49047
  • Phone: (269) 783-3052

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NPI Details

Olivia Hock Crofoot is a medical physician assistant in Dowagiac, MI with 2 years of experience. Olivia Hock Crofoot NPI is 1497544274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WESTERN MICHIGAN UN HOMER STRYKER SCHOOL OF MED
Graduation Year:2024

The provider's business location address is:

420 W HIGH ST
DOWAGIAC, MI
ZIP 49047-943
Phone: (269) 783-3052

The NPI 1497544274 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 5/6/2025 and was last updated on 10/27/2025.

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
1207Q00000XFamily Medicine5601013081MICHIGANNo
2363AM0700XPhysician AssistantMedical5601013081MICHIGANYes

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: 11/21/2025

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