TANNER CROSHAW (PA) – Pain Medicine Physician, NPI 1306424692

TANNER CROSHAW (PA) is a healthcare provider. based in North las vegas, Nevada. specializing in Pain Medicine Physician. They hold the professional credentials PA. They hold a License No. 1179657 (NV). The NPI Number for TANNER CROSHAW (PA) is 1306424692

Main info

Male
Name
TANNER CROSHAW (PA)
NPI
1306424692
Phone
(702) 747-4799
Address
3970 W ANN RD STE 100
Enumeration Date
30 March 2021
Last Update Date
30 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for TANNER CROSHAW (PA)

  • 3970 W ANN RD STE 100

    NORTH LAS VEGAS, NV 890313853

    Phone: (702) 747-4799

    Fax: (702) 747-4667

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: SPR Therapeutics, Inc ($21).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89031)

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Reviews

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Frequently asked questions

How do payers reference TANNER CROSHAW (PA)?
For TANNER CROSHAW (PA), use NPI 1306424692 as the unique 10-digit identifier.
Would TANNER CROSHAW (PA) appear as active to a payer?
You can treat TANNER CROSHAW (PA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to TANNER CROSHAW (PA)?
TANNER CROSHAW (PA)'s specialty line reads Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TANNER CROSHAW (PA)?
Travel planning: use North Las Vegas, Nevada as the reference point for TANNER CROSHAW (PA), then confirm.
When was this NPI issued?
Enumeration for TANNER CROSHAW (PA) is noted as March 30, 2021 where the registry provides it.

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