Active NPI
James A Cranberg, M.D.
- Allergy Physician
- Wauwatosa, WI
National Provider Identifier
1073665626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Practice address
- 2500 N Mayfair Rd
Suite 220
Wauwatosa, WI 53226-1409 - Phone
- (414) 475-9101
- Fax
- (414) 475-9203
- NPI assigned
- Jan 16, 2007
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | WI | Primary |
Addresses
Primary practice location
2500 N Mayfair Rd
Suite 220
Wauwatosa, WI 53226-1409
Mailing address
2110 W Greenwood Rd
Glendale, WI 53209-2133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31517400 | Medicaid | WI |
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 |
|---|---|---|---|
| 30282-4210 | WI | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073665626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 W GREENWOOD RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532092133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N MAYFAIR RD",
"address_2": "SUITE 220",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261409",
"telephone_number": "414-475-9101",
"fax_number": "414-475-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANBERG",
"first_name": "JAMES",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31517400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.