Provider Demographics
NPI:1124022777
Name:CRANLEY, JAMES P (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:CRANLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 632958
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2958
Mailing Address - Country:US
Mailing Address - Phone:513-451-9698
Mailing Address - Fax:513-451-9412
Practice Address - Street 1:4746 MONTGOMERY RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-2622
Practice Address - Country:US
Practice Address - Phone:513-233-4100
Practice Address - Fax:513-751-2267
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2011-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-046570207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH100010944OtherRAILROAD MEDICARE
OH0551255Medicaid
OHCR0562657Medicare PIN
C02888Medicare UPIN