Kenneth M Crandall
UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC


Address: 7505 Osler Dr, Suite 104, Towson, MD 21204-7737
Phone: 4105698587

Kenneth M Crandall (NPI# 1447485891, PAC ID# 7719286848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.

Physician Overview

Nation Provider ID (NPI) 1447485891
PAC ID by PECOS 7719286848
Professional Enrollment ID I20170822000963
Full Name Kenneth M Crandall
Organization Legal Name UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC
Address 7505 Osler Dr
Suite 104
Towson
MD 21204-7737
Phone Number 4105698587
Gender M
Medical School UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
Graduation Year 2009
Primary Specialty NEUROSURGERY
Group Practice PAC ID 0941455794
Number of Group Practice Members 38
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210002 UNIVERSITY OF MARYLAND MEDICAL CENTER
210063 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER

Other Locations

Address Phone Organization
22 S Green St, Baltimore, MD 21201-1544 4103286704 SHOCK TRAUMA ASSOCIATES PA
22 S Greene St, Suite 12d, Baltimore, MD 21201-1544 4103286034 UNIVERSITY OF MARYLAND NEUROSURGERY ASSOCIATES P A
7505 Osler Dr, Suite 104, Towson, MD 21204-7737 4105698587 UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC

Organization Information

Organization Legal Name UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC
Physicians 41

Physicians with the same organization

Name Specialty Organization Address
Gregory D Marchesiello Physician Assistant University of Maryland St. Joseph Orthopaedics, LLC 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044
Paul C Mcafee Orthopedic Surgery University of Maryland St. Joseph Orthopaedics, LLC 8322 Bellona Ave, Towson, MD 21204-2065
Earl C Matthews Orthopedic Surgery University of Maryland St. Joseph Orthopaedics, LLC 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044
Liana G Chotikul Nurse Practitioner University of Maryland St. Joseph Orthopaedics, LLC 8322 Bellona Ave, Towson, MD 21204-2065
David F Dalury Orthopedic Surgery University of Maryland St. Joseph Orthopaedics, LLC 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044
Kenneth W Defontes Iii Orthopedic Surgery University of Maryland St. Joseph Orthopaedics, LLC 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044
Colleen N Rice Physician Assistant University of Maryland St. Joseph Orthopaedics, LLC 8322 Bellona Ave, Towson, MD 21204-2065
Michael D Dabbah Orthopedic Surgery University of Maryland St. Joseph Orthopaedics, LLC 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044
Timothy P Codd Orthopedic Surgery University of Maryland St. Joseph Orthopaedics, LLC 8322 Bellona Ave, Towson, MD 21204-2065
Mark V Clough Orthopedic Surgery University of Maryland St. Joseph Orthopaedics, LLC 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044

Office Location

Street Address 7505 OSLER DR
SUITE 104
City TOWSON
State MD
Zip 21204-7737

Physicians in the same location

Name Specialty Organization Address
Ashraf S Mostafa Internal Medicine 7505 Osler Dr, Suite 208, Towson, MD 21204-7738
Michael P Broussard Certified Registered Nurse Anesthetist (crna) Goldberg Rosenstein Khan and Forman Md Pa 7505 Osler Dr, Suite 502, Towson, MD 21204-7740
Joshua S Forman Gastroenterology Goldberg Rosenstein Khan and Forman Md Pa 7505 Osler Dr, Suite 502, Towson, MD 21204-7740
Jamie B Walters Gastroenterology Goldberg Rosenstein Khan and Forman Md Pa 7505 Osler Dr, Suite 502, Towson, MD 21204-7740
Aminur R Khan Gastroenterology Goldberg Rosenstein Khan and Forman Md Pa 7505 Osler Dr, Suite 502, Towson, MD 21204-7740
Jeremy S Pollock Internal Medicine University of Maryland St Joseph Medical Group LLC 7505 Osler Dr, Suite 103, Towson, MD 21204-7737
Maria Y Que Obstetrics/gynecology 7505 Osler Dr, Suite 209, Towson, MD 21204-7738
Jin Gu Internal Medicine 7505 Osler Dr, Suite 312, Towson, MD 21204-7740
Kate P Knott Nurse Practitioner University of Maryland St Joseph Medical Group LLC 7505 Osler Dr, Suite 302, Towson, MD 21204-7738
Thea L Koltz Certified Registered Nurse Anesthetist (crna) Goldberg Rosenstein Khan and Forman Md Pa 7505 Osler Dr, Suite 502, Towson, MD 21204-7740
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Physicians in the same zip code

Name Specialty Organization Address
Sharen M.b. Bisson Psychiatry Osler Medical Ctr, Suite 7600, Towson, MD 21204
Vinod Lakhanpal Ophthalmology Katzen Medical Associates PC 901 Dulaney Valley Rd, Suite 200, Towson, MD 21204-0603
Kristen Reese Clinical Psychologist Medop Behavioral Health Associates of Maryland PC 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204-0614
Brittney Elizabeth Ziskind Clinical Psychologist Medop Behavioral Health Associates of Maryland PC 901 Dulaney Valley Rd, Towson, MD 21204-0614
Shawna Mowrer Clinical Psychologist Medop Behavioral Health Associates of Maryland PC 901 Dulaney Valley Rd, Towson, MD 21204-0614
Tracy O Cress Certified Registered Nurse Anesthetist Warren H Macleod C R N A Pa 901 Dulaney Valley Rd, Suite 220, Towson, MD 21204-0621
Emily M. Samuelson Psychologist, Clinical 28 Allegheny Ave, Suite 1305, Towson, MD 21204-1379
Charlotte E Coates Wilkes Psychiatry 8417 Bellona Ln, Suite 102, Towson, MD 21204-2014
Adolfo L Lopez Internal Medicine 8415 Bellona Ln, Suite 109, Towson, MD 21204-2015
Tanya J Quille Psychologist, Clinical 8422 Bellona Ln, Suite 207, Towson, MD 21204-2057
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Competitor

Search similar physicians

City TOWSON
Zip Code 21204
Specialty NEUROSURGERY
City + Specialty TOWSON + NEUROSURGERY

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Dataset Information

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.

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