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Individual

JAMES R CRANDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2331
(216) 696-2888
Mailing address
PO BOX 378, AVON, OH 44011
(440) 695-4000
(440) 695-4669

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35059930C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000188027
ANTHEM
01
0119204
GROUP MEDICAID
05
0805436
OH
01
10790137
CAQH
01
109934
KAISER
01
110213802
RR MEDICARE INDIVIDUAL
01
1780634279
GROUP NPI
01
2448496
AETNA
01
2502257
UNITED HEALTHCARE
01
341783789055
CARESOURCE
01
3610861
GROUP ASC MEDICARE
01
9273172
GROUP MEDICARE
01
CA4511
RR MEDICARE GROUP
01
D368301
GROUP IND DIAGNOTICS MED
01
L59930
SUMMACARE APEX
Enumeration date
02/27/2006
Last updated
02/05/2026
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