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Active NPI 1477067775 Individual Practitioner Female Practitioner

Crystal Anne Burtis , PHYSICIAN ASSISTANT

Physician Assistant • Logan, UT

Professional Overview & Biography Verified Profile Summary

Crystal Burtis, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Logan, UT. Practice services are available at 1624 N 200 E STE 160 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1624 N 200 E Ste 160

Logan, UT 843413175

Telephone 4357505599
Fax 4357500861
Associated Practice Facility / Clinic
🏢 Canyon Medical Group Llc Facility NPI 1952599409

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Logan, UT (1904 Statewide)

Telehealth Adoption Rate
17.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 1054788-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

1624 N 200 E Ste 160

Logan, UT 843413175

Phone: 4357039647

6783 S Redwood Rd Ste 102

West Jordan, UT 840845696

Phone: 4357039647

6783 S Redwood Rd Ste 103

West Jordan, UT 840845685

Phone: 4357039647

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1184633711

Doctor of Osteopathic Medicine (D.O.)

Ryan Bell

Pediatrics

NPI 1184803827
NPI 1225047996

Doctor of Medicine (M.D.)

Madison Cutler , PA

Physician Assistant

NPI 1336923135

Physician Assistant

Marci Buttars , APRN

Nurse Practitioner - Family

NPI 1710294004

Advanced Practice Registered Nurse

Robert Duncan

Pediatrics

NPI 1801530084

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 31, 2023

Registered at 1624 N 200 E STE 160, LOGAN, UT 843413175 (Tel: 4357505599)

📍
Updated Business Mailing Address October 31, 2023

Registered at 1624 N 200 E STE 160, LOGAN, UT 843413175 (Tel: 4357505599)

NPI Profile Active November 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2017

Registered at 1325 N 600 E STE 101, LOGAN, UT 843416743 (Tel: 4357505599)

📍
Updated Business Mailing Address November 22, 2017

Registered at 1325 N 600 E STE 101, LOGAN, UT 843416743 (Tel: 4357505599)

👤
Provider Name / Credentials Updated November 22, 2017

Recorded as CRYSTAL BURTIS, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2017

Physician Assistant (License #1054788-1206 in UT)

🟢
Initial NPI Registration & Enumeration November 22, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477067775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2017
Last Update: October 31, 2023
Sole Proprietor: Yes

Mailing Address

1624 N 200 E Ste 160

Logan, UT 843413175

Phone: 4357505599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.