MR. ROBERT CRANDALL (NPI# 1750383105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750383105 |
| Entity Type | Individual |
| Full Name | MR. ROBERT CRANDALL |
| Credential | DO |
| Practice Address |
74720 G Rd Overton NE 68863-5811 |
| Mailing Address |
816 22nd Ave Suite 100 Kearney NE 68845-2206 |
| Practice Telephone | 3089872207 |
| Mailing Telephone | 3088652808 |
| Mailing Fax Number | 3084553970 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 255 | NE | Other Service Providers |
| N | 207P00000X | Emergency Medicine | 255 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1750383105 | 05 | |
| NE | BLUE CROSS BLUE SHIELD NE | 06657 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629199492 | Robert David Crandall | Physician Assistant | 204 Bsb 2-4 Id, Bldg. 2457 Attn. Captain Crandall, Fort Carson, CO 80913 | 2007-04-02 |
| 1245298579 | Robert John Crandall Jr. | Chiropractor | 2526 E Court St, Beatrice, NE 68310-3405 | 2006-05-03 |
| 1144735523 | Robert Lewis Crandall | Physical Therapist | 280 County Road 44, Norwich, NY 13815-2209 | 2017-12-07 |
| 1790794345 | Robert Scott Crandall | Obstetrics & Gynecology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-08-05 |
| Street Address |
74720 G RD |
| City | OVERTON |
| State | NE |
| Zip Code | 68863-5811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205910544 | Village of Overton | Ambulance | 502 D. Street, Overton, NE 68863 | 2006-10-24 |
| 1427046416 | Daniel D. Mcclenahan D.d.s. P.C. | Dentist | 401 5th St, Overton, NE 68863 | 2005-10-12 |
| 1790989424 | Katherine Elizabeth Vaughn | Dental Hygienist | 401 5th Street, Overton, NE 68863 | 2007-06-14 |
| 1821086885 | Daniel D Mcclenahan | Dentist | 401 5th Street, Overton, NE 68863-0264 | 2005-10-12 |
| 1891907044 | Shawnda J Eggleston | Dental Hygienist | 401 5th Street, Overton, NE 68863-0264 | 2007-05-03 |
| 1689886715 | Teresa M Ondrak | Dental Hygienist | 401 5th Street, Overton, NE 68863-0264 | 2007-05-03 |
| 1710460001 | Overton Community Pharmacy | Pharmacy | 509 C St, Overton, NE 68863-5351 | 2018-09-12 |
| 1538530761 | Carolyn Edwards | Speech-Language Pathologist | 401 7th St, Overton, NE 68863-6345 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659904969 | Elia Barron | Licensed Vocational Nurse | 10468 Fm 2012 N, Overton, TX 75684-3547 | 2020-02-14 |
| 1710460001 | Overton Community Pharmacy | Pharmacy | 509 C St, Overton, NE 68863-5351 | 2018-09-12 |
| 1760961114 | Letti Vick | Registered Nurse | 4636 County Road 112 N, Overton, TX 75684-5103 | 2018-08-07 |
| 1104328533 | Rt Automotive, Inc. | Durable Medical Equipment & Medical Supplies | 24086 Fm 838 W, Overton, TX 75684-4427 | 2018-03-01 |
| 1376060806 | M & L Contractors | Contractor | 11000 Cr 29, Overton, TX 75684-8040 | 2017-08-25 |
| 1962859835 | Carl Hedges IIi | Massage Therapist | 412 1/2 N Warren St, Overton, TX 75684-1116 | 2016-05-19 |
| 1568837326 | Senior Shepherds of Texas, LLC | In Home Supportive Care | 13166 County Road 183d, Overton, TX 75684-3102 | 2015-12-04 |
| 1942618574 | Timothy Johnson | Pharmacist | 350 Moapa Valley Boulevard, Overton, NV 89040 | 2014-07-28 |
| 1992096580 | Dung T Cao | Physician Assistant | 102 W Henderson St, Overton, TX 75684-1613 | 2011-04-29 |
| 1073810842 | Terry Buhecker | Pharmacist | 289 S. Moapa Valley Blvd, Suite 1, Overton, NV 89040 | 2011-02-14 |
| Find all providers in OVERTON | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053769 | Simplistic Solutions | Specialist | 21765 Pacific St, Elkhorn, NE 68022-1914 | 2020-11-03 |
| 1033653662 | Shelley M Knudsen | Specialist | 2300 S 48th St Ste 3, Lincoln, NE 68506-5809 | 2016-12-16 |
| 1942758099 | Kristee Nash | Specialist | 13021 Patrick Cir, Omaha, NE 68164-3937 | 2016-09-19 |
| 1740634070 | Mary Marlene Allen | Specialist | 1317 N 148th Plz, Omaha, NE 68154-1118 | 2016-04-22 |
| 1205208725 | Kristy Denise Miller | Specialist | 309 East 11th Street, Crete, NE 68333 | 2015-10-23 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1548667256 | Teledigm Physician Services, LLC | Specialist | 2222 S 16th St Ste 401a, Lincoln, NE 68502-3785 | 2014-11-24 |
| 1609205129 | Lynn Renee Rathbun | Specialist | 7800 S 34th St, Lincoln, NE 68516-4817 | 2013-11-05 |
| 1053651877 | Multiple Sclerosis Center of Nebraska PC | Specialist | 575 Fallbrook Blvd, Suite 204, Lincoln, NE 68521-9015 | 2013-02-15 |
| 1588913180 | Nebraska Surgical Anesthesia Services LLC | Specialist | 11819 Miracle Hills Drive, Suite 201, Omaha, NE 68154-5308 | 2012-08-29 |
| 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.