Heide K Crandall (NPI# 1760463640, PAC ID# 0042407009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1760463640 |
| PAC ID by PECOS | 0042407009 |
| Professional Enrollment ID | I20101203000375 |
| Full Name | Heide K Crandall |
| Address |
46 Martin St Wellsville NY 14895-1020 |
| Phone Number | 5855939497 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330096 | JONES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 46 Martin St, Wellsville, NY 14895-1020 | 5855939497 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
46 MARTIN ST |
| City | WELLSVILLE |
| State | NY |
| Zip | 14895-1020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Lee Gunzburger | Chiropractic | 29 Martin St, Wellsville, NY 14895-1019 | |
| Reed P Haag | Internal Medicine | 238 N Main St, Wellsville, NY 14895-1046 | |
| Anthony M Marra IIi | Occupational Therapy | Nysarc Inc., Chemung County Chapter | 240 Oconnor St, Wellsville, NY 14895-1055 |
| Benjamin H Palmer Iv | Speech Language Pathologist | Nysarc Inc., Chemung County Chapter | 240 Oconnor St, Wellsville, NY 14895-1055 |
| Christopher R Depner | Family Medicine | 12 Martin St, Wellsville, NY 14895-1057 | |
| Robert J Maiden | Psychologist, Clinical | 12 Martin St, Wellsville, NY 14895-1057 | |
| Michael A Johnson | Ophthalmology | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Gary L Cook | Optometry | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Jason D Sibble | Optometry | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Bradley A Speta | Nurse Practitioner | 12 Martin St, Wellsville, NY 14895-1057 | |
| Find all physicians in zip 14895 | |||
| City | WELLSVILLE |
| Zip Code | 14895 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WELLSVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Heide K 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.