JAMES R CRANDELL (NPI# 1396711610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396711610 |
| Entity Type | Individual |
| Full Name | JAMES R CRANDELL |
| Credential | MD |
| Practice Address |
25200 Center Ridge Rd Ste 1100 Westlake OH 44145-4146 |
| Mailing Address |
Po Box 378 Sandusky OH 44871-0378 |
| Practice Telephone | 4403314853 |
| Practice Fax Number | 4403337044 |
| Mailing Telephone | 4196266161 |
| Mailing Fax Number | 4195023511 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35059930C | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1780634279 | 01 | |
| SUMMACARE APEX | L59930 | 01 | |
| CARESOURCE | 341783789055 | 01 | |
| GROUP MEDICARE | 9273172 | 01 | |
| ANTHEM | 000000188027 | 01 | |
| GROUP ASC MEDICARE | 3610861 | 01 | |
| OH | 0805436 | 05 | |
| CAQH | 10790137 | 01 | |
| RR MEDICARE INDIVIDUAL | 110213802 | 01 | |
| AETNA | 2448496 | 01 | |
| UNITED HEALTHCARE | 2502257 | 01 | |
| GROUP IND DIAGNOTICS MED | D368301 | 01 | |
| GROUP MEDICAID | 0119204 | 01 | |
| GROUP RR MEDICARE | CA4511 | 01 | |
| RR MEDICARE GROUP | CA4511 | 01 | |
| KAISER | 109934 | 01 |
| Street Address |
25200 CENTER RIDGE RD STE 1100 |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185007 | University Primary Care Practices, Inc. | Orthopaedic Surgery | 25200 Center Ridge Rd Ste 1100, Westlake, OH 44145 | 2017-03-14 |
| 1306397120 | Jubilee Healthcare LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd Ste 1100, Westlake, OH 44145 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982022364 | Umbreen Azmat Hussain | Internal Medicine | 29099 Health Campus Dr Ste 150, Westlake, OH 44145-5255 | 2014-04-02 |
| 1336128693 | Atul R Hulyalkar | Internal Medicine | 29101 Health Campus Dr Bldg 2, Westlake, OH 44145-5270 | 2006-01-13 |
| 1215257712 | University Hospitals Medical Group, Inc | Internal Medicine | 960 Clague Rd, Suite 2300, Westlake, OH 44145-1582 | 2010-06-07 |
| 1780889725 | Fairview Hospital | Internal Medicine | 25200 Center Ridge Rd, Westlake, OH 44145-4141 | 2007-06-19 |
| 1972629558 | North Ohio Heart Center, Inc | Internal Medicine | 960 Clague Rd, Suite 2300, Westlake, OH 44145-1582 | 2007-03-22 |
| 1124111067 | Muhammed H. Zahra, Md | Internal Medicine | 25200 Center Ridge Rd, Suite 1100, Westlake, OH 44145-4141 | 2006-10-02 |
| 1922103258 | Harry Persaud | Internal Medicine | 29099 Health Campus Drive, Suite 110 Bldg #3, Westlake, OH 44145 | 2006-09-13 |
| 1205939543 | Sudhakar Narhar Chandurkar | Internal Medicine | 25200 Center Ridge Rd, Suite 260, Westlake, OH 44145-4141 | 2006-09-05 |
| 1508808155 | Lori A Rusterholtz | Internal Medicine | 29325 Health Campus Dr, Suite 3, Westlake, OH 44145-8201 | 2006-06-11 |
| 1104887959 | Westside Medicine & Cardiology Inc | Internal Medicine | 29099 Health Campus Dr, Bldg 3, Suite 150, Westlake, OH 44145 | 2006-03-31 |
| Find all providers in WESTLAKE | ||||
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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.