Sarah Layne Crandall, M.D.,

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

74191 Issued in MN

Practice address

1420 London Rd Ste 101
Duluth, MN 55805-2437

Phone

(218) 724-7363

NPI assigned

Apr 17, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22569/brand/1/csg/1/fhir/r4
• Direct secure messaging: scrandall512026@fhsce.catholichealth.net
• Direct secure messaging: scrandall@slk.direct.slhduluth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Luke's Hospital of Duluth

  dba Aspirus St Lukes Hospital

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1801835970
  NPD
• Multicare Health System

  • Cardiovascular Disease Physician
  • Everett, WA
  • NPI 1164185765
  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  NPD
• Advanced Surgical Associates of Northern Minnesota PLLC

  • Surgery Physician
  • Hibbing, MN
  • NPI 1033725197

  Plastic Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1023451317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 LONDON RD STE 101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LONDON RD STE 101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052437",
            "telephone_number": "218-724-7363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Main St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984073177",
            "country_code": "US",
            "telephone_number": "253-759-4529",
            "fax_number": "253-984-2049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3181 SW Sam Jackson Park Road",
            "address_2": "OHSU",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "SARAH",
        "middle_name": "LAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "PG189173",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD60951421",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "74191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028295",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scrandall512026@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "5005 Main St Ste 125",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984073177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scrandall512026@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5005 Main St Ste 125",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984073177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kirsten E Cowan, MD
• Elena Rose Cowen Bantle, PA-C
• Kayla Ann Cox
• Brent Lee Crabtree, M.D., M.P.H.
• Marcie Ann Crain
• Creative Health, LLC
• Joseph John Cremers
• Karen Marie Cremers, OTR/L
• Anne Crispo, LPCC
• Betsy Crist, RD, LD

• Plastic Surgery Physician in Duluth, MN
• Providers in Duluth, MN by specialty
• Plastic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.