DR. MAX JAY CROUCH (NPI# 1861569261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861569261 |
Entity Type | Individual |
Full Name | DR. MAX JAY CROUCH |
Credential | M.D. |
Practice Address |
97 S. Professional Way Payson UT 84651 |
Mailing Address |
1055 N 500 W Provo UT 84604-3305 |
Practice Telephone | 8014654896 |
Practice Fax Number | 8014653267 |
Mailing Telephone | 8014654896 |
Mailing Fax Number | 8014653267 |
Enumeration Date | 2006-11-29 |
Last Update Date | 2011-12-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
181049-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | STATE LICENSE | 181049-1205 | 01 |
Street Address |
97 S. PROFESSIONAL WAY |
City | PAYSON |
State | UT |
Zip Code | 84651 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689692071 | Robert Brent Clark | Family Medicine | 97 S. Professional Way, Payson, UT 84651 | 2006-07-17 |
1932293727 | Jason L Andersen | Psychiatry & Neurology | 97 S. Professional Way, Payson, UT 84651 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467996116 | At Peace Peace Hospice Care LLC. | Hospice Care, Community Based | 863 S 500 W, Payson, UT 84651 | 2016-12-15 |
1750732723 | Country Lane Payson Operating LLC | Assisted Living Facility | 153 S. 900 E, Payson, UT 84651 | 2016-06-30 |
1811390768 | Payson Rx Express LLC | Pharmacy | 869 S Turf Farm Rd, Payson, UT 84651 | 2014-10-07 |
1205261807 | Payson Sports & Spine LLC | Chiropractor | 871 South 500 West, Payson, UT 84651 | 2013-09-13 |
1205177722 | Avalon Care Center - Va Payson, LLC | Skilled Nursing Facility | 1551 North Main Street, Payson, UT 84651 | 2013-03-07 |
1609015353 | Donald Rex Lankford | Social Worker | 806 South 1040 West, Payson, UT 84651 | 2009-02-19 |
1477709772 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 15 S 1000 E Ste 125, Payson, UT 84651 | 2008-08-18 |
1386836112 | Canyon View Medical Group LLC | Pediatrics | 15 South 1000 East, Suite 100, Payson, UT 84651 | 2007-08-15 |
1518187350 | Richard Barton | Pharmacist | 69 East Hudson Ln, Elk Ridge, UT 84651 | 2007-04-26 |
1356400337 | Apple Valley Vision LLC | Optometrist | 539 South 100 West, Payson, UT 84651 | 2006-12-06 |
Find all providers in zip 84651 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659575686 | Douglas A Allen | Obstetrics & Gynecology | 1886 West 800 North, Pleasant Grove, UT 84062-4097 | 2007-06-13 |
1245322908 | John Thomas Paas | Obstetrics & Gynecology | 900 Round Valley Dr Ste 200, Park City, UT 84060-7552 | 2006-09-29 |
1396790309 | Chad C Lunt | Obstetrics & Gynecology | 515 S 300 E Ste 205, St George, UT 84770-3979 | 2006-05-24 |
1972145811 | Utah Navajo Health System, Incorpoarted | Obstetrics & Gynecology | 802 S 200 W, Blanding, UT 84511-3910 | 2019-10-11 |
1316459035 | Becky J Jackson | Obstetrics & Gynecology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2017-11-03 |
1285085480 | Cameron Bishop Leavitt | Obstetrics & Gynecology | 295 S 1470 E # 200, St George, UT 84790-1762 | 2016-06-29 |
1619123452 | Albert R Hartman Md PC | Obstetrics & Gynecology | 4403 Harrison Blvd, 4625, Ogden, UT 84403-3271 | 2008-08-12 |
1619190899 | Mt. Olympus Obstetrics and Gynecology | Obstetrics & Gynecology | 1220 E 3900 S, Suite 3e, Salt Lake City, UT 84124-1327 | 2007-04-10 |
1669567376 | Robert Wendall Later | Obstetrics & Gynecology | 9600 S 1300 E, Suite 302, Sandy, UT 84094-3766 | 2006-10-04 |
1629013248 | Robert P. Strebel Jr. | Obstetrics & Gynecology | 544 S 400 E, St George, UT 84770-3705 | 2006-06-18 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.