Marc Chasen Croshaw, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

700 N Spring St
Caliente, NV 89008-1010

Phone

(775) 726-3121

Fax

(775) 726-3666

NPI assigned

Dec 18, 2016

Last updated

Jan 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln County Hospital DistrictGroup PAC ID 2163408246, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grover C Dils Medical Center Hospital, Caliente, NV, CCN 291312
• Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007
• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/grover-592cddb6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lincoln County Hospital District

  dba Grover C Dils Medical Center

  • Critical Access Hospital
  • Caliente, NV
  • NPI 1659423341
  Medicare reassignment Care Compare group NPD
• Lincoln County Hospital District

  dba Lincoln County Medical Associates-Alamo

  • Clinic/Center
  • Alamo, NV
  • NPI 1174602056
  NPD
• Lincoln County Hospital District

  dba Grover C Dils Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Caliente, NV
  • NPI 1659595460
  NPD
• Lincoln County Hospital District

  dba Lincoln County Medical Associates-Caliente

  • Rural Health Clinic/Center
  • Caliente, NV
  • NPI 1598843054
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lincoln County Hospital District

  dba Grover C Dils Medical Center

  • Critical Access Hospital
  • Caliente, NV
  • NPI 1659423341
  Care Compare affiliation
• Lincoln County Hospital District

  dba Grover C Dils Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Caliente, NV
  • NPI 1659595460
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Cedar City Hospital

  • General Acute Care Hospital
  • Cedar City, UT
  • NPI 1538178801
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1043754518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "CALIENTE",
            "state": "NV",
            "postal_code": "890081010",
            "telephone_number": "775-726-3171",
            "fax_number": "775-726-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N SPRING ST",
            "city": "CALIENTE",
            "state": "NV",
            "postal_code": "890081010",
            "telephone_number": "775-726-3121",
            "fax_number": "775-726-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSHAW",
        "first_name": "MARC",
        "middle_name": "CHASEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-18",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043754518",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Caliente, NV
• Providers in Caliente, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.