Douglas Zeb Crofts (NPI# 1588924658, PAC ID# 8224351200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588924658 |
| PAC ID by PECOS | 8224351200 |
| Professional Enrollment ID | I20141223002003 |
| Full Name | Douglas Zeb Crofts |
| Organization Legal Name | SAN JUAN COUNTY HOSPITAL |
| Address |
364 W 100 Monticello UT 84535-0308 |
| Phone Number | 4355872116 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486541851 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 461308 | SAN JUAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 364 W 100, Monticello, UT 84535-0308 | 4355872116 | SAN JUAN COUNTY HOSPITAL |
| 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 | 4355875054 | SAN JUAN COUNTY HOSPITAL |
| 380 W 100 N A, Monticello, UT 84535-1054 | 4355875054 | SAN JUAN COUNTY HOSPITAL |
| Organization Legal Name | SAN JUAN COUNTY HOSPITAL |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mario D La Giglia | General Surgery | San Juan County Hospital | 364 W 100, Monticello, UT 84535-0308 |
| James Walker | Physician Assistant | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Jane Sparks | Nurse Practitioner | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Kelly Marvin Jeppesen | Family Medicine | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Nicole M Fox | Physician Assistant | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Michael Nielson | Osteopathic Manipulative Medicine | San Juan County Hospital | 364 W 100, Monticello, UT 84535-0308 |
| Edwin M Wyman | Orthopedic Surgery | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Dashelle L Holliday | Nurse Practitioner | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| William Rainer | General Surgery | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Daniel Mower | Certified Registered Nurse Anesthetist | San Juan County Hospital | 364 W 100, Monticello, UT 84535-0308 |
| Street Address |
364 W 100 |
| City | MONTICELLO |
| State | UT |
| Zip | 84535-0308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mario D La Giglia | General Surgery | San Juan County Hospital | 364 W 100, Monticello, UT 84535-0308 |
| Michael Nielson | Osteopathic Manipulative Medicine | San Juan County Hospital | 364 W 100, Monticello, UT 84535-0308 |
| Daniel Mower | Certified Registered Nurse Anesthetist | San Juan County Hospital | 364 W 100, Monticello, UT 84535-0308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Rhett Maughan | Chiropractic | 225 S Main, Monticello, UT 84535 | |
| William L Warner | Obstetrics/gynecology | Canyon View Medical Group LLC | 380 W 100, Monticello, UT 84535 |
| James Walker | Physician Assistant | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Jane Sparks | Nurse Practitioner | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Kelly Marvin Jeppesen | Family Medicine | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Nicole M Fox | Physician Assistant | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Edwin M Wyman | Orthopedic Surgery | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| Dashelle L Holliday | Nurse Practitioner | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| William Rainer | General Surgery | San Juan County Hospital | 380 W 100 N A, San Juan Clinic, Monticello, UT 84535-1054 |
| City | MONTICELLO |
| Zip Code | 84535 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONTICELLO + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.