WAYNE GRANT CRAWFORD PA-C
NPI 1922060284
Physician Assistant - Medical in Midvale, UT

Q: What is Wayne Crawford's NPI number?

The NPI number for Wayne Crawford is 1922060284. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Wayne Crawford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Crawford was last updated on January 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 03, 2006PECOS Enrolled

7302 S BINGHAM JUNCTION BLVD, MIDVALE, UT 84047(801) 442-2611 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2017, Mar 31, 2016 (2 updates tracked since 2016).

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About Wayne Grant Crawford Pa-c NPPES

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

WAYNE GRANT CRAWFORD PA-C (NPI 1922060284) is an individual medical provider in Midvale, Utah, licensed in Utah (105738-1206) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922060284

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameWAYNE GRANT CRAWFORDCredential: PA-C

Location Address7302 S BINGHAM JUNCTION BLVDMidvale, UT 84047-4804

Mailing AddressPo Box 2712Salt Lake City, UT 84110-2712 · (801) 442-5502

Phone(801) 442-2611

Sole ProprietorNo

Enumeration DateApril 3, 2006

Last NPPES UpdateJanuary 26, 20172 updates tracked since enumeration

✔ NPI 1922060284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in UT · 105738-1206✔ Licensed in TX · T12/22/2013✔ Licensed in AK · 2209

7302 S BINGHAM JUNCTION BLVD, Midvale, UT 84047

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Other Identifiers 2

Medicare UPINP18399

Medicare PIN000063836UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne Grant Crawford Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

MISS NICOLE MARIE JOHNSON PA-C

Physician Assistant