| James R Crandell, MD | |
|
1730 W 25th St, Cleveland, OH 44113-3108 | |
| (216) 363-2331 | |
| (216) 696-2888 |
| Full Name | James R Crandell |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 43 Years |
| Location | 1730 W 25th St, Cleveland, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396711610 | NPI | - | NPPES |
| 9273172 | Other | GROUP MEDICARE | |
| D368301 | Other | GROUP IND DIAGNOTICS MED | |
| 109934 | Other | KAISER | |
| 0119204 | Other | GROUP MEDICAID | |
| 2448496 | Other | AETNA | |
| CA4511 | Other | RR MEDICARE GROUP | |
| 10790137 | Other | CAQH | |
| 110213802 | Other | RR MEDICARE INDIVIDUAL | |
| 3610861 | Other | GROUP ASC MEDICARE | |
| L59930 | Other | SUMMACARE APEX | |
| 341783789055 | Other | CARESOURCE | |
| 000000188027 | Other | ANTHEM | |
| 1780634279 | Other | GROUP NPI | |
| CA4511 | Other | GROUP RR MEDICARE | |
| 0805436 | Medicaid | OH | |
| 2502257 | Other | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 35059930C (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uh St John Medical Center | Westlake, OH | Hospital |
| Fairview Hospital | Cleveland, OH | Hospital |
| Lutheran Hospital | Cleveland, OH | Hospital |
| Cleveland Clinic | Cleveland, OH | Hospital |
| Cleveland Clinic Avon Hospital | Avon, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Point Medical Group Llc | 6002177342 | 12 |
| Entity Name | Lake Point Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235646191 PECOS PAC ID: 6002177342 Enrollment ID: O20180228002221 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Crandell, MD Po Box 378, Avon, OH 44011 Ph: (440) 695-4000 | James R Crandell, MD 1730 W 25th St, Cleveland, OH 44113-3108 Ph: (216) 363-2331 |
Amir Razavi, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 | |
Sana Hasan, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195 Phone: 330-721-5700 | |
Laura Ferreira Provenzano, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-445-4926 Fax: 216-444-9378 | |
Catherine Frakes Vozzo, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-4444 Fax: 216-445-6290 | |
Tarek Ashour, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Q7, Cleveland, OH 44195 Phone: 216-444-5040 | |
Mrs. Efewongbe Benedicta Oleghe, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 Phone: 216-363-2725 | |
Dr. Krupa Parikh, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800 |