MALCOLM E CRENNELL PA-C
NPI 1225095987
Physician Assistant in Madison, WI

Q: What is Malcolm Crennell's NPI number?

The NPI number for Malcolm Crennell is 1225095987. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Malcolm Crennell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Malcolm Crennell was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 27, 2006

1821 S STOUGHTON RD, MADISON, WI 53716(608) 260-6000(608) 260-6699 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 11, 2018, Jan 19, 2018, May 9, 2016 (3 updates tracked since 2016).

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About Malcolm E Crennell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALCOLM E CRENNELL PA-C (NPI 1225095987) is an individual physician assistant in Madison, Wisconsin, licensed in Wisconsin (329-023) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1225095987

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMALCOLM E CRENNELLCredential: PA-C

Location Address1821 S STOUGHTON RDMadison, WI 53716-2257

Mailing Address1821 S Stoughton RdMadison, WI 53716-2257 · (608) 260-6000 · Fax (608) 260-6699

Phone(608) 260-6000

Fax(608) 260-6699

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateApril 11, 20183 updates tracked since enumeration

✔ NPI 1225095987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 329-023

Definition

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.

1821 S STOUGHTON RD, Madison, WI 53716

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Other Identifiers 2

Medicaid42911000WI

Other200026874WI · Railroad Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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