Individual provider Active NPI

Andrew Richard Crandall, DO

  • Obstetrics & Gynecology Physician
  • Spanish Fork, UT
National Provider Identifier
1194385617
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6911175-1204 Issued in UT
Practice address
819 E Market Place Dr Ste 300C
Spanish Fork, UT 84660-1396
Phone
(801) 465-2559
Fax
(801) 798-8513
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101026544 MI
Obstetrics & Gynecology Physician 207V00000X 6911175-1204 UT Primary

Addresses

Primary practice location

819 E Market Place Dr Ste 300C
Spanish Fork, UT 84660-1396

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

15 S 1000 E Ste 125
Payson, UT 84651-5593
Phone (801) 465-2559

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723003915 UT Practitioner - Obstetrics/Gynecology 7012335920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

819 E Market Place Dr
Spanish Fork, UT 84660-5669
Phone (385) 344-6770

Hospital & facility affiliations

  • Mountain View Hospital Hospital, Payson, UT, CCN 460013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6911175-1204UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon View Medical Group LLC CurrentSince Jul 12, 2024 Accepting new patients
Canyon View Medical Group LLC Obstetrics & Gynecology Current Accepting new patients
Canyon View Medical Group LLC CurrentSince Jul 12, 2024 Accepting new patients
Canyon View Medical Group LLC Obstetrics & Gynecology Past Accepting new patients
Lansing Urgent Care, PLC PastSince Dec 18, 2021 Accepting new patients

Locations

15 S 1000 E
Ste 125
Payson, UT 84651
Phone (801) 465-2559

819 E Market Place Dr
Ste 300
Spanish Fork, UT 84660
Phone (801) 465-2559

336 W 100 S
Spanish Fork, UT 84660
Phone (385) 203-0246

325 W Center St
Spanish Fork, UT 84660
Phone (801) 798-7301

Interoperability endpoints

  • Direct secure messaging: andrew.crandalldo.p1@direct.canyonviewmed.nextgenshare.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1194385617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 E MARKET PLACE DR STE 300C",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601396",
            "telephone_number": "801-465-2559",
            "fax_number": "801-798-8513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 S 1000 E Ste 125",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846515593",
            "country_code": "US",
            "telephone_number": "801-465-2559",
            "fax_number": "801-798-8513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "ANDREW",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101026544",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "6911175-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.