NPI 1144041476

Ryan Alexander Crouch, CAA

Practitioner Anesthesiologist Assistant Fort Wayne, IN

Practice location

Address: 11141 Parkview Plaza Dr STE 200, Fort Wayne, IN 46845-1714
Phone: (260) 425-6030
Fax: (260) 425-6027
Mailing address: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 75000209A (IN)

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Registry record

NPI: 1144041476
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2024
Record last updated: 6 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.