Crane Creek Surgical Partners, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CRANE CREEK SURGICAL PARTNERS, LLC

Practice address

2222 South Harbor City Blvd
Suite 540
Melbourne, FL 32901

Phone

(321) 541-1776

Fax

(321) 541-1779

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Richard HynesNPI 1184697450

Title

Board Member

Phone

(321) 541-1776

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Brevard Orthopaedic Spine & Pain Clinic Inc

  • Orthopaedic Surgery Physician
  • Melbourne, FL
  • NPI 1548237100

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Allan Hynes, MD

  • Orthopaedic Surgery Physician
  • Melbourne, FL
  • NPI 1184697450
  NPD Authorized official
• Devin Kumar Datta, MD

  • Orthopaedic Surgery Physician
  • Melbourne, FL
  • NPI 1821062290
  NPD

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1306087135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SOUTH HARBOR CITY BLVD",
            "address_2": "SUITE 540",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-541-1776",
            "fax_number": "321-541-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SOUTH HARBOR CITY BLVD",
            "address_2": "SUITE 540",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-541-1776",
            "fax_number": "321-541-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANE CREEK SURGICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "HYNES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "321-541-1776"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ann Coyne, LMT
• Coretta Lynn Craft
• Miranda Craft
• Crane Creek Lab LLC
• Crane Creek Surgical Partners Management LLC
• Tanner Wyatt Crank
• Kailey Taylor Cravo
• Jamie Lynn Crawford, APRN
• Mary Crawford, DMD
• Cre8 Health LLC

• Ambulatory Surgical Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.