BRENT CRANE (NPI# 1336469287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336469287 |
| Entity Type | Individual |
| Full Name | BRENT CRANE |
| Credential | MD |
| Practice Address |
1148 S Hillside St Ste 104 Wichita KS 67211-4005 |
| Practice Telephone | 3166870006 |
| Practice Fax Number | 3166870328 |
| Mailing Telephone | 3166870006 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E-11779 | AR | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
7402 | KS | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35.0099636 | OH | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD60654447 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE | H217430 | 01 |
| OH | 0086440 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 W Grand Ave, Dayton, OH 454057538 | 9377234515 | 9377233498 |
| 5350 Lamme Rd, Moraine, OH 454393215 | 9375344620 | 9375228788 |
| 5348 Lamme Rd, Moraine, OH 454393215 | 9375344651 | 9375228799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407175151 | Brent E Crane | Marriage & Family Therapist | Rr 1 Box 1548, Roosevelt, UT 84066-9738 | 2010-05-20 |
| Street Address |
1148 S HILLSIDE ST STE 104 |
| City | WICHITA |
| State | KS |
| Zip Code | 67211-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568669455 | Ingrid Veronica Dennis | Social Worker | 1148 S Hillside St, Suite 104, Wichita, KS 67211-4005 | 2007-07-02 |
| 1366054264 | Kibigi Enterrprises and Oil LLC | Clinic/Center | 1148 S Hillside St, Wichita, KS 67211-4006 | 2020-08-20 |
| 1376163691 | Brent Crane Md LLC | Clinic/Center | 1148 S Hillside St, Wichita, KS 67211-4006 | 2020-04-17 |
| 1225396443 | Dwight St Clair Do Pa | Psychiatry & Neurology | 1148 S Hillside St, Suite 104, Wichita, KS 67211-4005 | 2012-04-25 |
| 1144515198 | Kathrine F. Girrens, Md, LLC | Psychiatry & Neurology | 1148 S Hillside St, Suite 104, Wichita, KS 67211-4006 | 2011-06-17 |
| 1497066708 | Ingrid V. Dennis, Lscsw, Inc | Community/Behavioral Health | 1148 S Hillside St, Suite 104, Wichita, KS 67211-4006 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568407 | Danielle Marie Jones | Psychiatry & Neurology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2018-05-16 |
| 1790190791 | Susanna Ciccolari Micaldi | Psychiatry & Neurology | 1001 N. Minneapolis St, Wichita, KS 67214-3127 | 2014-06-27 |
| 1235563388 | Brian Everett Romalis | Psychiatry & Neurology | 7507 E Huntington St, Wichita, KS 67206-3225 | 2013-08-26 |
| 1649603655 | Cristina Cosico Rustia | Psychiatry & Neurology | 7720 E Morris St, Wichita, KS 67207-2324 | 2013-08-13 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1174780118 | M.h. Shah, M.d. | Psychiatry & Neurology | 1148 S Hillside St Ste 104, Wichita, KS 67211-4005 | 2008-05-19 |
| 1669671707 | Christi Lorraine Leach | Psychiatry & Neurology | 1515 S Clifton Ave Ste 300, Wichita, KS 67218-2953 | 2007-07-17 |
| 1720284250 | Trever Allen Krehbiel | Psychiatry & Neurology | 6432 E 34th St N Ste 100, Wichita, KS 67226-2537 | 2007-06-22 |
| 1871715086 | Rhanda Marie M Eboh | Psychiatry & Neurology | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2007-05-03 |
| 1780800326 | Achutha N. Reddy, M.d., P. A. | Psychiatry & Neurology | 1871 W 21st St N, Wichita, KS 67203-2104 | 2007-04-18 |
| Find all providers in WICHITA | ||||
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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.