Glenn D Crater, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

200500345 Issued in NC

Practice address

1390 Capital Blvd
Raleigh, NC 27603-1118

Phone

(919) 836-1642

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/
• FHIR API: https://api.platform.athenahealth.com/18383/brand/1/csg/1/fhir/r4

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.

• Urban Ministries

  • Voluntary or Charitable Agency
  • Raleigh, NC
  • NPI 1205211471
  NPD (past)
• Urban Ministries of Wake County, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1740527217
  NPD (past)
• East Tennessee Pulmonary Associates PC

  • Pulmonary Disease Physician
  • Oak Ridge, TN
  • NPI 1992717599
  NPD (past)
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  NPD (past)
• Statcare Outpatient, LLC

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1134653892
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1063444602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 FAST PARK DR",
            "address_2": "SUITE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174852",
            "telephone_number": "650-808-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031118",
            "telephone_number": "919-836-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRATER",
        "first_name": "GLENN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "200500345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crandell'S Enterprise'S Inc.
• Andrea Kuntaraf Crane, M.D.
• Jeffrey M Crane, M.D.
• John Howard Crapo, LPC
• Christina H Crater, M.D.
• Laura Craven, CPNP-PC
• Aaren Crawford
• Amanda Dow Crawford, LPCA
• Jocelyn Fredricka Crawford, M.ED, CCC-SLP
• Karolina Crawford, AUD

• Pulmonary Disease Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pulmonary Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.