KEITH ROBERT CRANDALL DPM NPI 1104125780

NPI Details

Keith Robert Crandall, DPM is a foot and ankle surgery podiatrist in Tyler, TX with 15 years of experience. Keith Robert Crandall, DPM NPI is 1104125780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2010

The provider's business location address is:

1605 STAFFORD DR
TYLER, TX
ZIP 75703-839
Phone: (903) 941-9247
Fax: (888) 503-2519

The NPI 1104125780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
• Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
• Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
• New patient custodial care facility, group care, or assisted living visit, typically 20 minutes (HCPCS:99324)
• Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
• Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
• Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
• Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)

The enumeration date for this NPI number is 3/21/2011 and was last updated on 7/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: