MR. MARC CHASEN CROSHAW (NPI# 1043754518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043754518 |
| Entity Type | Individual |
| Full Name | MR. MARC CHASEN CROSHAW |
| Credential | PA |
| Practice Address |
700 N Spring St Caliente NV 89008-1010 |
| Mailing Address |
Po Box 1010 Caliente NV 89008-1010 |
| Practice Telephone | 7757263121 |
| Practice Fax Number | 7757263666 |
| Mailing Telephone | 7757263171 |
| Mailing Fax Number | 7757263797 |
| Enumeration Date | 2016-12-18 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1043754518 | 05 |
| Street Address |
700 N SPRING ST |
| City | CALIENTE |
| State | NV |
| Zip Code | 89008-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589186 | John Russell Rogers | Family Medicine | 700 N Spring St, #a, Caliente, NV 89008-1010 | 2005-06-22 |
| 1497266712 | Nathan Young Avery | Nurse Practitioner | 700 N Spring St, Caliente, NV 89008 | 2017-10-13 |
| 1659755320 | David Dalton | Family Medicine | 700 N Spring St, Caliente, NV 89008-1010 | 2015-07-13 |
| 1568653533 | Lincoln County Board of Commissioners | Ambulance | 700 N Spring St, Caliente, NV 89008 | 2007-08-06 |
| 1437247020 | Lincoln County Board of Commissioners | Ambulance | 700 N Spring St, Caliente, NV 89008-0184 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568073583 | High Country Counseling Services LLC | Community/Behavioral Health | 100 Depot Ave, Suite 7, Caliente, NV 89008 | 2020-08-13 |
| 1275034662 | Kobee West Wade | Physical Therapist | 820 N Spring St, Ste C, Caliente, NV 89008 | 2018-02-22 |
| 1023530714 | Trent Kjar Decker | Pharmacist | 700 No. Spring St., Caliente, NV 89008 | 2017-07-13 |
| 1508279498 | Angel Reeve | Case Manager/Care Coordinator | 100 Depot Avenue, Ste 20, Caliente, NV 89008 | 2014-06-09 |
| 1083909352 | Kirk R Player | Physical Therapist | 820 N. Spring St, Suite C, Caliente, NV 89008 | 2011-06-15 |
| 1780977561 | Nathan Mcclure | Social Worker | 500 Youth Center Drive, Caliente, NV 89008 | 2011-05-26 |
| 1598843054 | Lincoln County Hospital District | Clinic/Center | 700 North Spring Street, Caliente, NV 89008 | 2006-11-01 |
| 1437183027 | Lane Dee Truman | Physical Therapist | 820 N Spring St., Suite C, Caliente, NV 89008 | 2006-07-10 |
| 1891738951 | A & H Katschke Ltd | Durable Medical Equipment & Medical Supplies | 800 N Spring Street, Caliente, NV 89008 | 2006-06-14 |
| 1194784413 | Principal Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 820 N Spring St, Suite B, Caliente, NV 89008 | 2006-03-23 |
| Find all providers in zip 89008 | ||||
| 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 |
|---|---|---|---|---|
| 1194324574 | Ashley Brooke Allen | Physician Assistant | 1705 Chaise Ct, Carson City, NV 89703-2335 | 2020-10-18 |
| 1497353627 | Justin Kent | Physician Assistant | 4521 Nantucket Clipper Dr, North Las Vegas, NV 89031-3492 | 2020-10-09 |
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1396362422 | Jeffrey Lee Chapman | Physician Assistant | 7405 Bryan Canyon Rd, Washoe Valley, NV 89704-9588 | 2020-07-06 |
| 1497370514 | Jantima Shannon Becker | Physician Assistant | 1060 Crosswater Dr, Reno, NV 89523-7100 | 2020-06-15 |
| 1376165985 | Vanessa E R Pulido Artienda | Physician Assistant | 7829 Strong Water Ct, Las Vegas, NV 89131-8247 | 2020-05-18 |
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1073148508 | Megan Marie Brandon | Physician Assistant | 236 W 6th St Ste 3, Reno, NV 89503-4517 | 2020-03-05 |
| 1427697952 | Fabiola Capano | Physician Assistant | 6930 S Cimarron Rd Ste 260, Las Vegas, NV 89113-2135 | 2020-01-01 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| 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.