Casey Lane Crandell (NPI# 1669600078, PAC ID# 9234385931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1669600078 |
| PAC ID by PECOS | 9234385931 |
| Professional Enrollment ID | I20120813000447 |
| Full Name | Casey Lane Crandell |
| Organization Legal Name | EMERGENCY PHYSICIANS SOUTHWEST PC |
| Address |
6644 E Baywood Ave Mesa AZ 85206-1747 |
| Phone Number | 4809812000 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2264538529 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030122 | BANNER GATEWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 4809812000 | EMERGENCY PHYSICIANS SOUTHWEST PC |
| Organization Legal Name | EMERGENCY PHYSICIANS SOUTHWEST PC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis J Foley | Family Medicine | Emergency Physicians Southwest PC | 501 N Navajo Dr, Page, AZ 86040-1447 |
| David E Boesch | Emergency Medicine | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| Mark R Solem | Emergency Medicine | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| Abrar U Khan | Internal Medicine | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| Mark A Tosca | General Practice | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| Samantha J Reeder | Emergency Medicine | Emergency Physicians Southwest PC | 1800 E Florence Blvd, Casa Grande, AZ 85122-5303 |
| Nick Stavridis | Emergency Medicine | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Ivynnell Sandifer | Emergency Medicine | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Paul J Gilbert | Emergency Medicine | Emergency Physicians Southwest PC | 807 S Ponderosa St, Payson, AZ 85541-5542 |
| David J Bennett | Emergency Medicine | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Street Address |
6644 E BAYWOOD AVE |
| City | MESA |
| State | AZ |
| Zip | 85206-1747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yasir A Batres | Cardiovascular Disease (cardiology) | Arizona Heart Doctor | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| David Whatcott | Physician Assistant | Banner Physician Specialists Arizona LLC | 6644 E Baywood Ave, Banner Health Clinic, Mesa, AZ 85206-1747 |
| Nick Stavridis | Emergency Medicine | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Ivynnell Sandifer | Emergency Medicine | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Maria S Maarouf | Anesthesiology | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | |
| David J Bennett | Emergency Medicine | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Hammad Amer | Vascular Surgery | American Vascular Specialists LLC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Neale M Spender | Nurse Practitioner | Emergency Physicians Southwest PC | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Aparajita Singh | Infectious Disease | Desert Valley Infectious Disease Physicians | 6644 E Baywood Ave, Mesa, AZ 85206-1747 |
| Samuel James Varosky | Physician Assistant | Banner Physician Specialists Arizona LLC | 6644 E Baywood Ave, Banner Health Clinic, Mesa, AZ 85206-1747 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justina D Alphin | Physician Assistant | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Alan D Wamboldt | Orthopedic Surgery | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Ansan Thomas | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Stephanie Deborah Kotsur | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Hollis E Shaw | Hematology/oncology | 6242 E Arbor Ave, Suite 116, Mesa, AZ 85206-1309 | |
| Michele F Davis | Nurse Practitioner | Bruce C Davis, Md, PC | 6242 E Arbor Ave, Suite 101, Mesa, AZ 85206-1309 |
| Audrey A Lally | Registered Dietitian Or Nutrition Professional | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Monica Abrante | Internal Medicine | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Terry A Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Lisa R Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Find all physicians in zip 85206 | |||
| City | MESA |
| Zip Code | 85206 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MESA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Casey Lane Crandell.
| 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.