David M Crane (NPI# 1144291089, PAC ID# 0446280366) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1144291089 |
| PAC ID by PECOS | 0446280366 |
| Professional Enrollment ID | I20050819000270 |
| Full Name | David M Crane |
| Organization Legal Name | BLUETAIL MEDICAL GROUP, LLC |
| Address |
17300 N Outer 40 Rd Suite 201 Chesterfield MO 63005-1364 |
| Phone Number | 6367782900 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1456599141 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1364 | 6367782900 | BLUETAIL MEDICAL GROUP, LLC |
| Organization Legal Name | BLUETAIL MEDICAL GROUP, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luga Podesta | Physical Medicine and Rehabilitation | Bluetail Medical Group, LLC | 1201 Piper Blvd, Suite 25, Naples, FL 34110-1385 |
| Matthew C Bayes | Sports Medicine | Bluetail Medical Group, LLC | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1364 |
| Kristin S Oliver | Sports Medicine | Bluetail Medical Group, LLC | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1364 |
| Christopher J Wolf | Physical Medicine and Rehabilitation | Bluetail Medical Group, LLC | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1364 |
| Street Address |
17300 N OUTER 40 RD SUITE 201 |
| City | CHESTERFIELD |
| State | MO |
| Zip | 63005-1364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew C Bayes | Sports Medicine | Bluetail Medical Group, LLC | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1364 |
| Michael V Oliveri | Psychologist, Clinical | 17300 N Outer 40 Rd, Suite 203, Chesterfield, MO 63005-1364 | |
| David P Minges | Orthopedic Surgery | Excel Orthopedics LLC | 17300 N Outer 40 Rd, Suite 316, Chesterfield, MO 63005-1364 |
| Stephen G Smith | Anesthesiology | 17300 N Outer 40 Rd, Suite 100, Chesterfield, MO 63005-1364 | |
| Kristin S Oliver | Sports Medicine | Bluetail Medical Group, LLC | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1364 |
| Christopher J Wolf | Physical Medicine and Rehabilitation | Bluetail Medical Group, LLC | 17300 N Outer 40 Rd, Suite 201, Chesterfield, MO 63005-1364 |
| Elizabeth M Elkins | Physical Therapy | St. Louis Physical Therapy, LLC | 17300 N Outer 40 Rd, Suite 202, Chesterfield, MO 63005-1364 |
| Michael J Gorman | Physical Therapy | St. Louis Physical Therapy, LLC | 17300 N Outer 40 Rd, Chesterfield, MO 63005-1364 |
| Jacob S Zanger | Physical Therapy | St. Louis Physical Therapy, LLC | 17300 N Outer 40 Rd, Chesterfield, MO 63005-1364 |
| Jessica Aschwege | Physical Therapy | St. Louis Physical Therapy, LLC | 17300 N Outer 40 Rd, Suite 202, Chesterfield, MO 63005-1364 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriel P Desimon | Diagnostic Radiology | Diagnostic Imaging Associates Ltd | 6 Mcbride Son Corp Ctr Dr, Suite 101, Chesterfield, MO 63005 |
| Brian M Graf | Physical Therapy | Prorehab PC | 134 Chesterfield Valley Dr, Chesterfield, MO 63005-1161 |
| Courtney L Martin | Physical Therapy | Prorehab PC | 134 Chesterfield Valley Dr, Chesterfield, MO 63005-1161 |
| Laci J Durler | Physical Therapy | Prorehab PC | 134 Chesterfield Valley Dr, Chesterfield, MO 63005-1161 |
| Amanda M Birk | Physical Therapy | Prorehab PC | 134 Chesterfield Valley Dr, Chesterfield, MO 63005-1161 |
| Jessica A Mcguire | Physical Therapy | Prorehab PC | 134 Chesterfield Valley Dr, Chesterfield, MO 63005-1161 |
| Theresa B Coverick | Physical Therapy | Prorehab PC | 134 Chesterfield Valley Dr, Chesterfield, MO 63005-1161 |
| Corey G Hahn | Chiropractic | 141 Chesterfield Business Pkwy, Chesterfield, MO 63005-1233 | |
| Meagan Murphy Schneider | Physical Therapy | Central Missouri Physical Therapy LLC | 17363 Edison Ave, Chesterfield, MO 63005-1250 |
| Daniel K Oleary | Chiropractic | 173 Long Rd, Suite 100, Chesterfield, MO 63005-1255 | |
| Find all physicians in zip 63005 | |||
| City | CHESTERFIELD |
| Zip Code | 63005 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | CHESTERFIELD + SPORTS MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.