Individual provider Active NPI

Justin Crane, PA-C

  • Physician Assistant
  • Farmington Hills, MI
National Provider Identifier
1649741372
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
560100890 Issued in MI
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

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
560100890OtherMISTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813000963 MI Practitioner - Physician Assistant 0547597643 Reassigns benefits to 9 organizations

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
First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

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

OrganizationSpecialtyStatusNew patients
Shelby Urgent Care PC CurrentSince May 1, 2022 Accepting new patients
Somerset Urgent Care PLLC Current Accepting new patients
Lakeside Urgent Care, P. C. CurrentSince Feb 12, 2022 Accepting new patients
Oxford Urgent Care, LLC Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 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

  • Direct secure messaging: justin.crane.2@20203.direct.athenahealth.com
  • FHIR API: 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.

View all 15

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

Verify at the official NPI Registry.