Laura A Crandall (NPI# 1477767101, PAC ID# 3577655869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1477767101 |
| PAC ID by PECOS | 3577655869 |
| Professional Enrollment ID | I20120820001130 |
| Full Name | Laura A Crandall |
| Organization Legal Name | AMERICAN MULTISPECIALTY GROUP INC |
| Address |
1167 Fortune Blvd Shiloh IL 62269-7377 |
| Phone Number | 6182076900 |
| Gender | F |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658365572 |
| Number of Group Practice Members | 148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140307 | METRO-EAST SERVICES INC |
| 140185 | MEMORIAL HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1167 Fortune Blvd, Shiloh, IL 62269-7377 | 6182076900 | AMERICAN MULTISPECIALTY GROUP INC |
| Organization Legal Name | AMERICAN MULTISPECIALTY GROUP INC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Rice Fick | Internal Medicine | American Multispecialty Group Inc | 1551 Wall St, Suite 400, Saint Charles, MO 63303-3541 |
| Rachel A Sappington | Nurse Practitioner | American Multispecialty Group Inc | 4800 Mexico Rd, Suite 102, Saint Peters, MO 63376-1666 |
| Danielle J Moore | Nurse Practitioner | American Multispecialty Group Inc | 3409 Union Blvd, Saint Louis, MO 63115-1127 |
| John T English | Internal Medicine | American Multispecialty Group Inc | 4 Park Pl, Swansea, IL 62226-2965 |
| Erin E Sandoz | Registered Dietitian Or Nutrition Professional | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| Gaylin R Manion | Nurse Practitioner | American Multispecialty Group Inc | 1167 Fortune Blvd, Shiloh, IL 62269-7377 |
| Alisia M Schmidt | Physician Assistant | American Multispecialty Group Inc | 2900 W Frank Scott Pkwy, Suite 914, Belleville, IL 62223-5000 |
| Julie A Rubin | Nurse Practitioner | American Multispecialty Group Inc | 1031 Bellevue Ave, Saint Louis, MO 63117-1857 |
| Craig S Holzem | Family Medicine | American Multispecialty Group Inc | 1721 Heritage Hills Dr, Washington, MO 63090-4621 |
| Radha V Patnana | Family Medicine | American Multispecialty Group Inc | 7419 Watson Rd, Saint Louis, MO 63119-4415 |
| Street Address |
1167 FORTUNE BLVD |
| City | SHILOH |
| State | IL |
| Zip | 62269-7377 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaylin R Manion | Nurse Practitioner | American Multispecialty Group Inc | 1167 Fortune Blvd, Shiloh, IL 62269-7377 |
| Kayla J Mccarthy | Nurse Practitioner | American Multispecialty Group Inc | 1167 Fortune Blvd, Shiloh, IL 62269-7377 |
| Angela Marie Epplin | Nurse Practitioner | American Multispecialty Group Inc | 1167 Fortune Blvd, Shiloh, IL 62269-7377 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara Balabas | Optometry | Nucrown Inc | 1560w Us Hwy 50, O Fallon, IL 62269 |
| Noah M Cooperstein | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
| Shirley S Sheth | Emergency Medicine | Cepamerica Illinois LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Kathy L Liefer | Nurse Practitioner | Hshs Medical Group Inc | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Thomas Cahill Jr. | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 3 Saint Elizabeth Blvd, Suite 2800, O Fallon, IL 62269-1099 |
| Bart S Bowers | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Breanna L Gawrys | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
| Yashaswi S Belvadi | Critical Care (intensivists) | Cep America Illinois Intensivists | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Isaac Tran | Emergency Medicine | Cep America-illinois Hospitalists LLP | 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 |
| Bernard J Szopa | General Surgery | Lincoln Surgical Associates, Ltd. | 3 Saint Elizabeth Blvd, Suite 3400, O Fallon, IL 62269-1099 |
| Find all physicians in zip 62269 | |||
| City | SHILOH |
| Zip Code | 62269 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SHILOH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Laura A Crandall.
| 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.