NPI 1194778068 · live from the CMS NPI Registry
James R Crabill, PA
Physician Assistant in Fargo, ND. National Provider Identifier 1194778068, active.
NPI record
| NPI | 1194778068 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1720 University Dr S, Fargo, ND 58103 |
| Practice phone | 701-280-4140 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | May 19, 2006 |
| Last updated | June 15, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 8880 (MN) |
| Physician Assistant, Medical | 363AM0700X | PAC0014 (ND) |
| Physician Assistant, Medical | 363AM0700X | 8880 (MN) |
| Physician Assistant, Surgical | 363AS0400X | 8880 (MN) |
| Physician Assistant, Surgical | 363AS0400X | PAC0014 (ND) |
| Physician Assistant primary | 363A00000X | PAC0014 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.