Individual provider Active NPI

Russell Dennis Cranston, MD

  • Ophthalmology Physician
  • Corning, NY
National Provider Identifier
1902890841
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
136658 Issued in NY
Practice address
232 Denison Pkwy E
Corning, NY 14830-2813
Phone
(607) 937-5800
Fax
(607) 398-3341
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 136658 NY Primary

Addresses

Primary practice location

232 Denison Pkwy E
Corning, NY 14830-2813

Mailing address

Stavi
Corning, NY 14830
Phone (607) 734-1554

Other identifiers 1

IdentifierTypeStateIssuer
180041900OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
136658NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allan M Robbins Ophthalmology PastSince Nov 13, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1902890841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STAVI",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "14830",
            "telephone_number": "607-734-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 DENISON PKWY E",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302813",
            "telephone_number": "607-937-5800",
            "fax_number": "607-398-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANSTON",
        "first_name": "RUSSELL",
        "middle_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "136658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180041900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.