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BLAIN A CRANDELL MD NPI 1215964614


NPI Information

NPI: 1215964614
Provider Name: BLAIN A CRANDELL, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
123 BJUNE DR SE
SUITE 101
BAINBRIDGE ISLAND, WA
ZIP 98110
Phone: (206) 842-3222
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Blain A Crandell, MD is a family medicine in Bainbridge Island, WA with 23 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Blain A Crandell, MD NPI is 1215964614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

123 BJUNE DR SE
SUITE 101
BAINBRIDGE ISLAND, WA
ZIP 98110-459
Phone: (206) 842-3222
Fax: (206) 842-1877

The NPI 1215964614 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), Power Mobility Devices.

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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Urinalysis, manual test (HCPCS:81002)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 6/28/2006 and was last updated on 12/2/2013.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD00043807WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18399065MEDICAIDWASHINGTON
2G8876738MEDICARE PIN
3G8876736MEDICARE PIN
4H76670MEDICARE UPIN
50284290OTHERWASHINGTONDEPT OF LABOR AND INDUSTRIES
68805001MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
7G8876737MEDICARE PIN
8P00974408OTHERWASHINGTONRAILROAD MEDICARE
90186660OTHERWASHINGTONLABOR & INDUSTRIES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.