WAYNE GRANT CRAWFORD PA-C NPI 1922060284

NPI Information

NPI: 1922060284
Provider Name: WAYNE GRANT CRAWFORD, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT
ZIP 84047
Phone: (801) 442-2611
Get Directions

Wayne Grant Crawford, PA-C is a medical physician assistant in Midvale, UT with 22 years of experience. Wayne Grant Crawford, PA-C NPI is 1922060284. 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:

7302 S BINGHAM JUNCTION BLVD
MIDVALE, UT
ZIP 84047-804
Phone: (801) 442-2611

The NPI 1922060284 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 4/3/2006 and was last updated on 1/26/2017.

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	363AM0700X	Physician Assistant	Medical	T12/22/2013	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	2209	ALASKA	No
3	363AM0700X	Physician Assistant	Medical	105738-1206	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	Other Provider Identifier Issuer
1	P18399	MEDICARE UPIN
2	000063836	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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