Jack W Crosland, MD | |
2240 Adams Ave, Ogden, UT 84401-1511 | |
(801) 393-5355 | |
(801) 394-4609 |
Full Name | Jack W Crosland |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 2240 Adams Ave, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750373247 | NPI | - | NPPES |
QM000053820 | Other | ALTIUS | |
870680455007 | Medicaid | UT | |
870680455CRO | Other | EDUCATORS | |
05391 | Other | MHB | |
6273 | Other | DMBA | |
107004879101 | Other | IHC | |
68969 | Other | PEHP | |
810680455A005 | Other | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 159595-1205 (Utah) | Primary |
Entity Name | Midtown Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548267420 PECOS PAC ID: 0345135414 Enrollment ID: O20040218000005 |
Mailing Address | Practice Location Address |
---|---|
Jack W Crosland, MD 2240 Adams Ave, Ogden, UT 84401-1511 Ph: (801) 393-5355 | Jack W Crosland, MD 2240 Adams Ave, Ogden, UT 84401-1511 Ph: (801) 393-5355 |
Dr. Casey C Bachison, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 2400, Ogden, UT 84403 Phone: 801-387-2750 Fax: 801-387-2755 | |
Bruce E Thomas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5957 Fashion Point Dr, Suite 101, Ogden, UT 84403 Phone: 801-475-5683 Fax: 801-475-9499 | |
Brent M Baranko, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3300 Fax: 801-475-3301 | |
Dr. Todd Ryan Grunander, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 2400, Ogden, UT 84403 Phone: 801-387-2750 | |
Brett Evan Richards, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3300 Fax: 801-475-3301 | |
Donald William Bryan, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ste 2600, Ogden, UT 84403 Phone: 801-387-2600 Fax: 801-387-2625 | |
Damian Illing, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3300 Fax: 801-475-3301 |