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GEOFFREY CROCKETT MD NPI 1780645697


NPI Information

NPI: 1780645697
Provider Name: GEOFFREY CROCKETT, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: INTERMOUNTAIN HEALTHCARE SERVICES, INC

PECOS Registration: Yes

Address:
1600 W ANTELOPE DR
LAYTON, UT
ZIP 84041
Phone: (801) 801-1000
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Geoffrey Crockett, MD is an emergency medicine in Layton, UT with 22 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Geoffrey Crockett, MD NPI is 1780645697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

1600 W ANTELOPE DR
LAYTON, UT
ZIP 84041-120
Phone: (801) 801-1000

The NPI 1780645697 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 3/30/2006 and was last updated on 4/22/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical Services5848509-1205UTAHNo
2207P00000XEmergency Medicine5848509-1205UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1005786124MEDICARE ID-TYPE UNSPECIFIEDUTAH2055 N MAIN, TOOELE
2I37027MEDICARE UPINUTAH
3005567239MEDICARE ID-TYPE UNSPECIFIEDUTAH5475 S 500 E, OGDEN
4005568449MEDICARE ID-TYPE UNSPECIFIEDUTAH3580 W 9000 S, W JORDAN
5005568356MEDICARE ID-TYPE UNSPECIFIEDUTAH3460 PIONEER PKWY, WVC
6005567145MEDICARE ID-TYPE UNSPECIFIEDUTAH1600 ANTELOPE DR, LAYTON
7005568556MEDICARE ID-TYPE UNSPECIFIEDUTAH630 MEDICAL DR, BOUNTIFUL
8D6280MEDICAIDUTAH
9005568641MEDICARE ID-TYPE UNSPECIFIEDUTAH1050 E SOUTH TEMPLE, SLC

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

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.