Naples Gynecology LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME95903 Issued in FL

Legal business name

NAPLES GYNECOLOGY LLC

Practice address

1012 Goodlette Rd N
Suite 101
Naples, FL 34102-5463

Phone

(239) 214-9111

Fax

(239) 330-1360

NPI assigned

Mar 23, 2012

Organization subpart

No

Name

Dr. Blane Mitchell Crandall, M.D.

Title

Owner/Physician

Phone

(239) 213-9111

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9391/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2012.

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1073889028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 GOODLETTE RD N",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025463",
            "telephone_number": "239-214-9111",
            "fax_number": "239-330-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 GOODLETTE RD N",
            "address_2": "SUITE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025463",
            "telephone_number": "239-214-9111",
            "fax_number": "239-330-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "BLANE",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "239-213-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME95903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01893701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Naples, FL
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.