Crystal Pazder, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1802 6TH Ave S
Birmingham, AL 35233-1932

Phone

(205) 996-5105

NPI assigned

Jan 20, 2023

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Trucks Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cikegwuonu@direct.uabmedicine.org

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.

• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Trinity Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1487669016
  Medicare reassignment

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1447965603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LONG LEAF LAKE DR",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350224345",
            "telephone_number": "706-619-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331932",
            "telephone_number": "205-996-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZDER",
        "first_name": "CRYSTAL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "TRUCKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Charles Payne, MD
• Thomas J. Payne III, M.D.
• Tracy Jean Payton, MSN, APRN, FNP-C
• Valerie Dannette Paz-Cuevas
• Dannelle Paz
• PCR-DX, LLC
• Mary M Peach, FNP-C
• Morgan Peach, RDN
• Ryan Peach, DO
• Harriet Peacock, MA, LPC

• Medical Physician Assistant in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Medical Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.