DR. JONATHAN STUART CRANE (NPI# 1134187594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134187594 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN STUART CRANE |
| Credential | D.O. |
| Practice Address |
1099 Medical Center Dr Ste 201 Wilmington NC 28401-7346 |
| Practice Telephone | 9102519944 |
| Practice Fax Number | 9107634666 |
| Mailing Telephone | 9102519944 |
| Mailing Fax Number | 9107634666 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 34583 | NC | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 034583 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NPI | 1134187594 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 417 Vance St, Clinton, NC 283284001 | 9102519944 | 9107634666 |
| 308 S Bennett St, Burgaw, NC 284255048 | 9102519944 | 9107634666 |
| 603 Beaman St, Clinton, NC 283282650 | 9102519944 | 9107634666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669775854 | Jonathan E Crane | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2010-12-10 |
| Street Address |
1099 MEDICAL CENTER DR STE 201 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780999805 | Christopher Cook | Dermatology | 1099 Medical Center Dr Ste 201, Wilmington, NC 28401-7346 | 2010-08-12 |
| 1629297411 | Carla Dibenedetto Rohena | Dermatology | 1099 Medical Center Dr Ste 201, Wilmington, NC 28401-7346 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1063682078 | Patricia Richards | Dermatology | Wilmington Vamc, 1601 Kirkwood Highway, Wilmington, DE 19805 | 2008-03-05 |
| 1023286861 | Tracy A Novosel | Dermatology | 6781 Parker Farm Dr Ste 300, Wilmington, NC 28405 | 2008-02-14 |
| 1821170945 | Billie Forehand Cosgrove | Dermatology | 1814 Glen Meade Rd, Wilmington, NC 28403-6023 | 2006-10-19 |
| 1699785451 | Eric J Oliet | Dermatology | 800 Delaware Avenue, Wilmington, DE 19801-1322 | 2006-08-08 |
| 1508886821 | Heather Aimee Loesch | Dermatology | 2504 Delaney Avenue, Wilmington, NC 28403-6002 | 2006-07-20 |
| 1962437459 | Maurice A.thew M.d., P.a. | Dermatology | 19 The Commons, 3516 Silverside Road, Wilmington, DE 19810-4932 | 2006-07-12 |
| 1780619270 | Maurice A Thew | Dermatology | 3516 Silverside Rd, Wilmington, DE 19810-4932 | 2006-07-12 |
| 1467494955 | Catherine Healy Kassens | Dermatology | 1984 S 16th St, Suite 1, Wilmington, NC 28401-6647 | 2006-06-11 |
| 1871550061 | Patricia Bunch Hood | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2006-05-01 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.