| Jack W Crosland, MD | |
| 2240 Adams Ave, Ogden, UT 84401-1511 | |
| (801) 393-5355 | |
| (801) 394-4609 | 
| Full Name | Jack W Crosland | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery | 
| Location | 2240 Adams Ave, Ogden, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750373247 | NPI | - | NPPES | 
| QM000053820 | Other | ALTIUS | |
| 870680455007 | Medicaid | UT | |
| 870680455CRO | Other | EDUCATORS | |
| 05391 | Other | MHB | |
| 6273 | Other | DMBA | |
| 107004879101 | Other | IHC | |
| 68969 | Other | PEHP | |
| 810680455A005 | Other | TRICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 159595-1205 (Utah) | Primary | 
| Entity Name | Midtown Community Health Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548267420 PECOS PAC ID: 0345135414 Enrollment ID: O20040218000005 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jack W Crosland, MD 2240 Adams Ave, Ogden, UT 84401-1511 Ph: (801) 393-5355 | Jack W Crosland, MD 2240 Adams Ave, Ogden, UT 84401-1511 Ph: (801) 393-5355 | 
| Noah James Quinlan, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3890 Medical Dr, Ogden, UT 84403 Phone: 801-387-7678 | |
| Dr. Casey C Bachison, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 2400, Ogden, UT 84403 Phone: 801-387-2750 Fax: 801-387-2755 | |
| Bruce E Thomas, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5957 Fashion Point Dr, Suite 101, Ogden, UT 84403 Phone: 801-475-5683 Fax: 801-475-9499 | |
| Brent M Baranko, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3300 Fax: 801-475-3301 | |
| Dr. Todd Ryan Grunander, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 2400, Ogden, UT 84403 Phone: 801-387-2750 | |
| Brett Evan Richards, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3300 Fax: 801-475-3301 | |
| Donald William Bryan, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ste 2600, Ogden, UT 84403 Phone: 801-387-2600 Fax: 801-387-2625 |