MS. KEA MICHELLE CRANDALL (NPI# 1205803764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205803764 |
| Entity Type | Individual |
| Full Name | MS. KEA MICHELLE CRANDALL |
| Credential | MD |
| Practice Address |
1046 6th Ave Sw Albany OR 97321-1916 |
| Practice Telephone | 5418124000 |
| Practice Fax Number | 5418124126 |
| Mailing Telephone | (541) 812-4000 |
| Mailing Fax Number | 5418124126 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2017-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD24290 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | C53395 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD 00047001 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 10862 | MT | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | MD24290 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 50069545 | 05 |
| Street Address |
1046 6TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659341386 | Leo Cytrynbaum | Internal Medicine | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2006-01-25 |
| 1881217818 | Christine Nelson | Occupational Therapist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2020-05-26 |
| 1982245452 | Cheryl Ann Hanslovan | Pharmacist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-10-04 |
| 1073163408 | Rebecca Riley Moyes | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
| 1811547250 | Jason Da Johnson | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
| 1548810989 | Kenneth Nealy | Registered Nurse | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-09-17 |
| 1215596101 | Mitchell V Prunk | Physical Therapist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-06-13 |
| 1376107250 | Kevin Christopher Bolen | Specialist/Technologist, Other | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-04-26 |
| 1902367527 | Ashley Biegler | Nurse Anesthetist, Certified Registered | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-03-27 |
| 1124583604 | Brooke Danielle Duncan | Dietitian, Registered | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1083977417 | Katrina G Hoffman | Hospitalist | 4600 Evergreen Pl Se, Albany, OR 97322-6182 | 2012-06-20 |
| 1487914891 | Shyam Amin | Hospitalist | 315 South Manning Blvd, 7 Cusack, Albany, NY 12208 | 2012-05-18 |
| 1821231432 | Chinyelu Ofodile | Hospitalist | 425 W. Third Avenue, Suite 500, Albany, GA 31701 | 2009-04-13 |
| 1851560965 | Dung D Pham | Hospitalist | 38 Seminole Ave, Basement, Albany, NY 12203 | 2008-02-22 |
| 1497306526 | Heather Marie Murphy | Hospitalist | 315 S Manning Blvd, Albany, NY 12208-1789 | 2019-09-20 |
| 1902459761 | Amy Lynne Zuccaro | Hospitalist | 315 S Manning Blvd, Albany, NY 12208-1707 | 2019-07-22 |
| 1881116895 | Nazia Rais Alam Khan | Hospitalist | 315 S Manning Blvd, Albany, NY 12208 | 2017-07-11 |
| 1205368594 | Cristina Calderon | Hospitalist | 47 New Scotland Ave, Dept. of Family Medicine, Albany, NY 12208-3412 | 2017-03-28 |
| 1619330396 | Ashok A Ramani | Hospitalist | 315 So Manning Blvd, St. Peter's Hospital Department, Albany, NY 12208 | 2016-03-31 |
| Find all providers in ALBANY | ||||
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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.