BRENT CRANE MD LLC (NPI# 1376163691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376163691 |
| Entity Type | Organization |
| Organization Name | BRENT CRANE MD LLC |
| Practice Address |
1148 S Hillside St Wichita KS 67211-4006 |
| Practice Telephone | 3166870006 |
| Practice Fax Number | 3166870328 |
| Mailing Telephone | 3166870006 |
| Mailing Fax Number | 3166870328 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | DR. BRENT A CRANE (OWNER) |
| Authorized Official Telephone | 9373676496 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KA4287013 | 05 |
| Street Address |
1148 S HILLSIDE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67211-4006 |
| 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 |
| 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 |
| 1336469287 | Brent Crane | Psychiatry & Neurology | 1148 S Hillside St, Ste 104, Wichita, KS 67211-4005 | 2010-06-02 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619441680 | Jkc Psych LLC | Clinic/Center | 8100 E 22nd St N Ste 1600, Wichita, KS 67226-2388 | 2019-01-14 |
| 1538642509 | Restoration Family Counseling Services | Clinic/Center | 5120 E Central Ave Ste 1, Wichita, KS 67208-4168 | 2018-09-14 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1932228533 | Dccca, Inc | Clinic/Center | 1319 W May St, Suite 1319b, Wichita, KS 67213-3505 | 2007-03-28 |
| 1609485804 | Therapeutic Paradigm | Clinic/Center | 7570 W 21st St N Ste 1006c, Wichita, KS 67205-1773 | 2020-07-24 |
| 1659997682 | Nuevo Amanecer LLC | Clinic/Center | 2312 S Meridian Ave Ste 102, Wichita, KS 67213-1912 | 2020-06-25 |
| 1447872718 | Kristi Mcneal LLC | Clinic/Center | 3310 E Douglas Ave, Wichita, KS 67208-3314 | 2020-05-10 |
| 1134758683 | Midwest Psychiatric Services, LLC | Clinic/Center | 3334 N Grey Meadow Ct, Wichita, KS 67205-8716 | 2020-04-06 |
| 1639714769 | Progressive Growth Counseling & Coaching, LLC | Clinic/Center | 1028 E 1st St N, Wichita, KS 67214-3903 | 2019-11-13 |
| 1578118881 | Aloha Counseling Inc | Clinic/Center | 1900 N Amidon Ave Ste 210, Wichita, KS 67203-2137 | 2019-08-04 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on BRENT CRANE MD LLC.
| 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.