Active NPI
Kenneth J. Crane, MD
- Anesthesiology Physician
- Terre Haute, IN
National Provider Identifier
1013967637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01031212A
- Practice address
- 1606 N 7TH St
Terre Haute, IN 47804-2706 - Phone
- (812) 238-7000
- Fax
- (812) 238-4506
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01031212A | IN | Primary |
Addresses
Primary practice location
1606 N 7TH St
Terre Haute, IN 47804-2706
Mailing address
PO Box 2505
Indianapolis, IN 46206-2505
Phone (812) 238-7783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100342400 | Medicaid | IN | |
| 050087359 | Other | IN | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031212A | IN | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1013967637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2505",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462062505",
"telephone_number": "812-238-7783",
"fax_number": "812-238-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 N 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042706",
"telephone_number": "812-238-7000",
"fax_number": "812-238-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "KENNETH",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01031212A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100342400",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "050087359",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.