Active NPI
Justin Crane, PA-C
- Physician Assistant
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 560100890
- Practice address
- 29263 Orchard Lake Rd
Farmington Hills, MI 48334-2953 - Phone
- (248) 488-5900
- NPI assigned
- Dec 6, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 560100890 | MI | Primary |
Addresses
Primary practice location
29263 Orchard Lake Rd
Farmington Hills, MI 48334-2953
Mailing address
34553 Coastal Dr
Sterling Heights, MI 48310-5563
Phone (810) 513-8812
Other practice location 1
18930 West Rd
Woodhaven, MI 48183-3317
Phone (734) 671-4900
Other practice location 2
9870 Telegraph Rd
Taylor, MI 48180-3334
Phone (313) 291-6600
Other practice location 3
6200 Middlebelt Rd
Garden City, MI 48135-2409
Phone (734) 367-9100
Other practice location 4
43535 Grand River Ave
Novi, MI 48375-1108
Phone (248) 946-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 560100890 | Other | MI | STATE OF MICHIGAN PA LICENSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18200 23 Mile Rd
Macomb, MI 48044-1105
Phone (586) 992-5500
23455 Michigan Ave
Dearborn, MI 48124-1908
2952 S Rochester Rd
Rochester Hills, MI 48307-4551
Phone (248) 853-2009
4080 Crooks Rd
Royal Oak, MI 48073-2428
Phone (248) 280-1080
44472 Hayes Rd
Clinton Township, MI 48038-1090
Phone (586) 412-0890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Urgent Care PC | Current | Accepting new patients | |
| Somerset Urgent Care PLLC | Current | Accepting new patients | |
| Lakeside Urgent Care, P. C. | Current | Accepting new patients | |
| Oxford Urgent Care, LLC | Past | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients | |
| Medical Care One | Past | Accepting new patients | |
| First Choice Medical Group PLLC | Past | Accepting new patients |
Locations
44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890
51850 Dequindre Rd
Ste 1
Shelby Township, MI 48316
Phone (586) 799-4082
1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444
31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395
Interoperability endpoints
- justin.crane.2@20203.direct.athenahealth.com
- https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
Organizations & group practices 15
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.
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1629201264
-
- Urgent Care Clinic/Center
- Clinton Township, MI
- NPI 1720159304
-
- Urgent Care Clinic/Center
- Waterford, MI
- NPI 1538585260
-
- Urgent Care Clinic/Center
- Saint Clair Shores, MI
- NPI 1992442560
-
- Urgent Care Clinic/Center
- Howell, MI
- NPI 1063124014
-
- Specialist
- Oxford, MI
- NPI 1700036936
-
- Urgent Care Clinic/Center
- Macomb, MI
- NPI 1184385791
-
- Internal Medicine Physician
- Royal Oak, MI
- NPI 1952833196
-
- Urgent Care Clinic/Center
- Shelby TWP, MI
- NPI 1326320599
-
- Urgent Care Clinic/Center
- Shelby TWP, MI
- NPI 1083998421
-
- Family Medicine Physician
- Troy, MI
- NPI 1124461702
-
- Primary Care Clinic/Center
- Dearborn, MI
- NPI 1750769394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1649741372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34553 COASTAL DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483105563",
"telephone_number": "810-513-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29263 ORCHARD LAKE RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342953",
"telephone_number": "248-488-5900"
}
],
"practiceLocations": [
{
"address_1": "18930 West Rd",
"address_purpose": "LOCATION",
"city": "Woodhaven",
"state": "MI",
"postal_code": "481833317",
"country_code": "US",
"telephone_number": "734-671-4900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9870 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "MI",
"postal_code": "481803334",
"country_code": "US",
"telephone_number": "313-291-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6200 Middlebelt Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481352409",
"country_code": "US",
"telephone_number": "734-367-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "43535 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751108",
"country_code": "US",
"telephone_number": "248-946-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRANE",
"first_name": "JUSTIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "560100890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN PA LICENSING",
"identifier": "560100890",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.