Cranston Jay Cederlind, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Garnett, KS
NPI 1821070905 · NPPES record last updated Oct 31, 2011
Key facts
- NPI
- 1821070905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 04-15034 (KS)
- Practice address
- 421 S Maple St
Garnett, KS 66032-1334 - Phone
- (785) 448-3131
- Fax
- (785) 448-5725
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15034 | MO | MD | General Practice Dentistry |
| 04-15034 | KS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson County OB-GYN Chartered | Obstetrics & Gynecology | Current |
Accepting new patients |
| Womens Care | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
7440 W Frontage Rd
Shawnee Msn, KS 66203
Phone (913) 236-6455
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 04-15034 | KS | Yes |
Addresses
Primary practice location
421 S Maple St
Garnett, KS 66032-1334
Mailing address
PO Box 14095
Shawnee Mission, KS 66285-4095
Phone (913) 888-6310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100333710B | Medicaid | KS | |
| 160053740 | Other | KS | RAILROAD MEDICARE |
| 614623 | Other | KS | FIRSTGUARD HEALTH PLAN |
| 09194024 | Other | MO | BCBS OF KANSAS CITY |
Other providers in Garnett, KS
- Glenn Darrell Bauman
- Courtney Renae Bell
- Karen Briggs
- Stacy Renee Brown
- Michael William Burns
- Community Health Center of Southeast Kansas, Inc
- Jordan Davied
- Bryce Douglas Dieker
- Kendra Rovello Erickson
- Tanya Renee Ewert
All providers in Garnett, KS · Obstetrics & Gynecology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.