Provider Demographics
NPI:1467453183
Name:MCCRANEY, JOHN M (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:MCCRANEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:25500 POINT LOOKOUT RD
Mailing Address - Street 2:BOX 527
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-2015
Mailing Address - Country:US
Mailing Address - Phone:301-690-2503
Mailing Address - Fax:301-997-6507
Practice Address - Street 1:25500 POINT LOOKOUT RD
Practice Address - Street 2:BOX 527
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2015
Practice Address - Country:US
Practice Address - Phone:301-690-2503
Practice Address - Fax:301-997-6507
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD1015504207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0013328Medicaid
D40596Medicare UPIN
MT0013328Medicaid