Crandall Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CRANDALL MEDICAL

Practice address

4924 Wellsburg Ave NW
Albuquerque, NM 87120-3801

Phone

(505) 720-1877

NPI assigned

Oct 28, 2017

Organization subpart

No

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

Authorized official

Name

Steve Tracy, MBA

Title

Owner

Phone

(505) 720-1877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509148800000",
    "number": "1689186868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21490",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871541490",
            "telephone_number": "505-720-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 WELLSBURG AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203801",
            "telephone_number": "505-720-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANDALL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-28",
        "last_updated": "2017-10-28",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-720-1877",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Keith Cram, AU.D.
• Craig A Cramer
• Edwin O Cramer, M.A.
• Robert J Crammer, O.D.
• Crandall Home Care LLC
• Angelique S Crandall, L.D.
• Cameron Crandall
• Susan Elaine Crandall, OT-L
• Kathleen Scott Crane, BA
• Lisa Crane, PMHNP-BC

• Durable Medical Equipment & Medical Supplies in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.