Individual
SCOTT WESLEY CRANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4917
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(800) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
085-002739
IL
363A00000X
Physician Assistant
Primary
085-002739
IL
363A00000X
Physician Assistant
PA9103859
FL
363AM0700X
Medical Physician Assistant
0010-00923
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MEDICARE OSCAR
IL
01
—
3932056
BLUE SHIELD
IL
Enumeration date
10/05/2006
Last updated
11/11/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us