Robert Scott Crandall, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Manchester, NH
NPI 1790794345 · NPPES record last updated Jan 13, 2012
Key facts
- NPI
- 1790794345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 8073 (NH)
- Practice address
- 100 Hitchcock Way
Manchester, NH 03104-4125 - Phone
- (603) 695-2500
- Fax
- (603) 695-2919
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Buffalo School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Appledore Medical Group Inc
Practice addresses (Care Compare)
88 McGregor St
Suite 201
Manchester, NH 03102-3733
Phone (603) 314-7595
Hospital & facility affiliations
- Catholic Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051013000417 | NH | Practitioner - Obstetrics/Gynecology | 0345265807 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| CMC D/B/a Urgent Care at Bedford Medical Park | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Obstetrics & Gynecology | Current |
Accepting new patients |
| Dartmouth-Hitchcock Clinic | Obstetrics & Gynecology | Current |
Accepting new patients |
| Appledore Medical Group, Inc | Current |
Accepting new patients | |
| Catholic Medical Center | Current |
Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Catholic Medical Center | Current |
Accepting new patients |
Locations
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567
5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060
253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
88 McGregor St
Ste 201
Manchester, NH 03102
Phone (603) 314-7595
88 McGregor St
Ste 204
Manchester, NH 03102
Phone (603) 663-6661
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- robert.crandall@hca6.eclinicaldirectplus.com
- rcrandall11974@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 8073 | NH | Yes |
Addresses
Primary practice location
100 Hitchcock Way
Manchester, NH 03104-4125
Mailing address
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003054 | Medicaid | NH |
Other providers in Manchester, NH
- Cpte - Manchester, Inc.
- Sarah Renee Craig
- Thomas Brian Craig
- Susanne Cramer
- William A. Cramer
- Camila F Crawford
- Rebecca Lynn Crawford
- Gretchen Newman Creaser
- Laura Crisan
- Sarah Elizabeth Crombie
All providers in Manchester, NH · Obstetrics & Gynecology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.