Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Geoffrey Matthew Crockett, MD

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1780645697

Geoffrey Matthew Crockett, MD is an Emergency Medicine in Park City, Utah. Graduated from Wayne State University School of Medicine in 2002, 24 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
24
Trained at
Wayne State University School of Medicine
Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

900 Round Valley Dr
Park City, UT 84060-7552
Phone: (435) 658-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5848509-1205 (UT)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 5848509-1205 (UT)

Record details

NPI number1780645697
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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