SHANE CREAN NPI 1356095574

NPI Information

  • NPI: 1356095574
  • Provider Name: SHANE CREAN
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 47149 BUSE RD
    PATUXENT RIVER, MD
    ZIP 20670
  • Phone: (301) 342-1418

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NPI Details

Shane Crean is a general practice in Patuxent River, MD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Shane Crean NPI is 1356095574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

47149 BUSE RD
PATUXENT RIVER, MD
ZIP 20670-540
Phone: (301) 342-1418

The NPI 1356095574 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 enumeration date for this NPI number is 2/7/2022 and was last updated on 7/15/2024.

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
1171000000XMilitary Health Care ProviderNo
2171000000XMilitary Health Care Provider0102208199VIRGINIANo
3208D00000XGeneral Practice0102208199VIRGINIAYes

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: 11/21/2025

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