DR. ANDY JON KRANENBURG (NPI# 1609040377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609040377 |
| Entity Type | Individual |
| Full Name | DR. ANDY JON KRANENBURG |
| Credential | M.D. |
| Practice Address |
2780 E Barnett Rd Ste 200 Medford OR 97504-8674 |
| Practice Telephone | 5417796250 |
| Practice Fax Number | 5416082535 |
| Mailing Telephone | 5417796250 |
| Mailing Fax Number | 5416082535 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A103793 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD25994 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1850 Sullivan Ave, Suite 200, Daly City, CA 940152221 | 6509857500 | 6509857585 |
| Street Address |
2780 E BARNETT RD STE 200 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184829350 | Ryan S Beck | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2007-06-18 |
| 1225645534 | Edoardo Ferrari | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2020-09-30 |
| 1649898362 | Lucas Wyatt Sealby | Physician Assistant | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2020-07-09 |
| 1740827377 | Erica Fazzini | Physician Assistant | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2019-12-02 |
| 1699338939 | Kenneth Gardner | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2019-04-22 |
| 1629546957 | Adam Alstein | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2018-11-05 |
| 1043799778 | Andrew M Bacha Iv | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2018-08-13 |
| 1811481559 | Jesse Graham Makaniloa Guerin | Occupational Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2018-06-17 |
| 1881196517 | Eric Daniel Moll | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2018-03-08 |
| 1285135533 | Teresa Marie Labadie | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912349580 | Southern Oregon Spine Care, P.C. | Orthopaedic Surgery | 1311 Barnett Road Ste 201, Medford, OR 97504 | 2013-07-24 |
| 1699763607 | Mark Delano Peterson | Orthopaedic Surgery | 1311 E Barnett Rd, Ste 201, Medford, OR 97504-8225 | 2005-10-12 |
| 1558688697 | Erik Christian Anders Olsson | Orthopaedic Surgery | 1311 E Barnett Rd, Suite 201, Medford, OR 97504-8225 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932607215 | Spine Cin of Oregon LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 287, Grants Pass, OR 97527-5854 | 2018-01-31 |
| 1023516309 | Joint Replacement Cin of Oregon LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 288, Grants Pass, OR 97527-5856 | 2018-01-31 |
| 1063722262 | Centennial Medical Group North, LLC | Orthopaedic Surgery | 2801 Nw Mercy Dr Ste 340, Roseburg, OR 97471-2348 | 2010-10-21 |
| 1295779734 | Todd Jay Lewis | Orthopaedic Surgery | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3887 | 2006-06-15 |
| 1548722614 | Sor Care of Or, LLC | Orthopaedic Surgery | 1867 Williams Hwy Ste 287, Grants Pass, OR 97527-5854 | 2019-04-05 |
| 1942702642 | Robert L Tatsumi Md PC | Orthopaedic Surgery | 19255 Sw 65th Ave Ste 200, Tualatin, OR 97062-9712 | 2018-03-08 |
| 1043605454 | Michael Wheeler | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2015-04-02 |
| 1700203338 | Renuka Reddy Kuruvalli | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Orthopaedic and Rehabilitaion Department, Portland, OR 97239-3011 | 2014-03-20 |
| 1376972182 | Oregon Spine Care LLC | Orthopaedic Surgery | 19255 Sw 65th Ave, Suite 200, Tualatin, OR 97062-7451 | 2013-11-02 |
| 1164860193 | Satoshi Kawaguchi | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Op31, Portland, OR 97239-3011 | 2013-06-12 |
| Find all providers with the same taxonomy | ||||
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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.