Gwendolyn A Crane (NPI# 1417971094, PAC ID# 5991871741) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1417971094 |
| PAC ID by PECOS | 5991871741 |
| Professional Enrollment ID | I20080929000418 |
| Full Name | Gwendolyn A Crane |
| Address |
1304 44th Ave Gulfport MS 39501-2552 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1991 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| Address | Phone | Organization |
|---|---|---|
| 1304 44th Ave, Gulfport, MS 39501-2552 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% |
| Street Address |
1304 44TH AVE |
| City | GULFPORT |
| State | MS |
| Zip | 39501-2552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason V Smith | Otolaryngology | 3017 13th St, Gulfport, MS 39501-1833 | |
| Samuel Robinson | Otolaryngology | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 3017 13th St, Gulfport, MS 39501-1833 |
| Gregory K Meekin | Otolaryngology | 1201 31st Ave, Gulfport, MS 39501-1847 | |
| Melissa K Rounsaville | Qualified Audiologist | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 1201 31st Ave, Gulfport, MS 39501-1847 |
| Carla Ann Rushing | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Mario A Nievas | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| James K Campbell | Gastroenterology | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Lauren Hitt | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Stephanie Fussell | Medical Oncology | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Christopher Jones | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Find all physicians in zip 39501 | |||
| City | GULFPORT |
| Zip Code | 39501 |
| Specialty | DERMATOLOGY |
| City + Specialty | GULFPORT + DERMATOLOGY |
Please comment or provide details below to improve the information on Gwendolyn A Crane.
| 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.