KEVIN JAMES CROCKETT (NPI# 1932616695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932616695 |
| Entity Type | Individual |
| Full Name | KEVIN JAMES CROCKETT |
| Practice Address |
30 E Hunters Hvn Saratoga Springs UT 84045-8169 |
| Practice Telephone | 8014009616 |
| Mailing Telephone | 8014009616 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10620174-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 E HUNTERS HVN |
| City | SARATOGA SPRINGS |
| State | UT |
| Zip Code | 84045-8169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972089951 | Rebecca Lyn Walton | Psychologist | 442 W Bountiful Way, Saratoga Springs, UT 84045 | 2018-07-13 |
| 1558879080 | Health Center of Utah | Advanced Practice Dental Therapist | 1305 N Commerce Dr #200, Saratoga Springs, UT 84045 | 2018-01-18 |
| 1467969162 | Eliza Michele Miller | Physician Assistant | 354 Ut-73, Saratoga Springs, UT 84045 | 2018-01-03 |
| 1275804676 | Lindsay E Maughan | Physician Assistant | 77 E Commerce Dr, Saratoga Springs, UT 84045 | 2012-01-18 |
| 1689976318 | Saratoga Springs Orthodontics | Dentist | 76 E. Commerce Drive, Suite 201, Saratoga Springs, UT 84045 | 2010-12-01 |
| 1295045110 | David Kemp | Chiropractor | 1305 N Commerce Dr Suite 200, Saratoga Springs, UT 84045 | 2010-10-13 |
| 1689996928 | Saratoga Pediatric Dentistry, LLC | Dentist | 245 E State Road 73, Saratoga Springs, UT 84045 | 2010-02-26 |
| 1215083936 | City of Saratoga Springs | Ambulance | 995 W 1200 N, Saratoga Springs, UT 84045 | 2007-01-26 |
| 1851468953 | Reese and Weaver, Ods LLC | Optometrist | 76 E Commerce Dr, Suite 102, Saratoga Springs, UT 84045 | 2006-11-30 |
| 1932214442 | Todd W Austin | Physical Therapist | 18 W. Sergeant Ct. Dr., Ste 101, Saratoga Springs, UT 84045 | 2006-08-21 |
| Find all providers in zip 84045 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699320770 | Donald Jason Willows | Physician Assistant | 3048 S Red Pine Dr, Saratoga Springs, UT 84045-4818 | 2019-08-06 |
| 1467969162 | Eliza Michele Miller | Physician Assistant | 354 Ut-73, Saratoga Springs, UT 84045 | 2018-01-03 |
| 1679026876 | Mara Petruccione | Physician Assistant | 21 Bradford Dr, Saratoga Springs, NY 12866-8569 | 2016-07-25 |
| 1730563388 | Ashley Ray | Physician Assistant | 5 Care Ln Ste 100, Saratoga Springs, NY 12866-8623 | 2015-07-14 |
| 1750698858 | Erica Meyers-standley | Physician Assistant | 1 West Ave Ste 300, Saratoga Springs, NY 12866-6050 | 2010-09-10 |
| 1508972654 | Norman Bovee | Physician Assistant | 59 Myrtle St Ste 300, Saratoga Springs, NY 12866-1044 | 2006-08-22 |
| 1841215464 | Kimberly S Mills | Physician Assistant | 414 Maple Ave Ste 300, Saratoga Springs, NY 12866-5533 | 2006-07-13 |
| 1154312593 | Kathy Lynn Herren | Physician Assistant | 377 Church St, Saratoga Springs, NY 12866 | 2005-11-03 |
| 1649279555 | Paul David Clarke | Physician Assistant | 401 Geyser Rd, Saratoga Springs, NY 12866-9069 | 2005-07-21 |
| 1114921608 | Antoinette Moran | Physician Assistant | 3044 Route 50, Saratoga Springs, NY 12866-2906 | 2005-06-13 |
| Find all providers in SARATOGA SPRINGS | ||||
| City | SARATOGA SPRINGS |
| Zip Code | 84045 |
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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.