Individual provider Active NPI

Anna H. Cranmer, MD

  • Emergency Medicine Physician
  • Williamantic, CT
National Provider Identifier
1497702963
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MA74527 Issued in NJ
Practice address
112 Mansfield Ave
Windham Hospital
Williamantic, CT 06226
Phone
(860) 456-9116
NPI assigned
May 28, 2006
Last updated
Mar 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MA74527 NJ Primary

Addresses

Primary practice location

112 Mansfield Ave
Windham Hospital
Williamantic, CT 06226

Mailing address

33 Adeline PL
Mansfield Center, CT 06250-1656
Phone (860) 456-8650

Other identifiers 1

IdentifierTypeStateIssuer
8895406MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20080722000274 CT Practitioner - Emergency Medicine 2567435894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA74527NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cranmer Eye Center, P.C. Past Accepting new patients
Emergency Physician Associates of South Jersey P C Emergency Medicine Past Accepting new patients
Melrose Wakefield Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1497702963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ADELINE PL",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501656",
            "telephone_number": "860-456-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MANSFIELD AVE",
            "address_2": "WINDHAM HOSPITAL",
            "city": "WILLIAMANTIC",
            "state": "CT",
            "postal_code": "06226",
            "telephone_number": "860-456-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANMER",
        "first_name": "ANNA",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MA74527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8895406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamantic, CT

Sources for this page

Verify at the official NPI Registry.