DR. CHARLES R CARRASCO M.D. NPI 1730126475

NPI Information

NPI: 1730126475
Provider Name: DR. CHARLES R CARRASCO, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
5444 GREEN ST
MURRAY, UT
ZIP 84123
Phone: (801) 286-2812
Get Directions

DR. Charles R Carrasco, M.D. is a vascular and interventional radiology radiology in Murray, UT. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Charles R Carrasco, M.D. NPI is 1730126475. 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:

5444 GREEN ST
MURRAY, UT
ZIP 84123-632
Phone: (801) 286-2812
Fax: (801) 262-5721

The NPI 1730126475 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 9/4/2012.

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	2085R0202X	Radiology	Diagnostic Radiology	162938-1205	UTAH	No
2	2085R0202X	Radiology	Diagnostic Radiology	M-4291	IDAHO	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	162938-1205	UTAH	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
1	D5611	MEDICAID	UTAH
2	005542762	MEDICARE PIN	UTAH
3	D93730	MEDICARE UPIN	UTAH

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »