CRANE ANTAWAN NIBLACK (NPI# 1568628139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568628139 |
| Entity Type | Individual |
| Full Name | CRANE ANTAWAN NIBLACK |
| Credential | M.D. |
| Practice Address |
6802 Paragon Pl Ste Ofc417 Richmond VA 23230-1644 |
| Practice Telephone | 8046874793 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2016-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101253456 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
6802 PARAGON PL STE OFC417 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790963387 | Ernest A Fornaris | Internal Medicine | 6802 Paragon Pl Ste Ofc417, Richmond, VA 23230-1644 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1215570700 | Eric Morgen | General Practice | 1445 S 50th St Ste A, Richmond, CA 94804-4605 | 2019-10-28 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| 1124570817 | Estefania Teron Cosme | General Practice | Vcuhs Dept of Pediatric Hematology Oncology, 1250 E. Marshall Street, Richmond, VA 23298 | 2016-10-27 |
| 1801134101 | Teddy Gonzalez | General Practice | 11546 Ryan Manor Dr, Richmond, TX 77406-3994 | 2013-01-21 |
| 1467704551 | Chs Virginia Medical, PC | General Practice | 2325 Bells Rd, Richmond, VA 23234-2274 | 2012-10-12 |
| 1023360112 | Chs Virginia Medical, P.C. | General Practice | 6601 W Broad St, Richmond, VA 23230-1723 | 2012-10-12 |
| 1750633137 | Chs Virginia Medical P C | General Practice | 1001 Semmes Ave, First Floor, Richmond, VA 23224-2245 | 2012-10-09 |
| 1831450287 | Priya Chandan | General Practice | 1805 Floyd Ave, Richmond, VA 23220-4513 | 2012-06-01 |
| Find all providers in RICHMOND | ||||
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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.