Provider Demographics
NPI:1770558058
Name:CRANLEY, ROBERT D (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:CRANLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 MERCY HEALTH BLVD STE 2010
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-1103
Mailing Address - Country:US
Mailing Address - Phone:513-961-4335
Mailing Address - Fax:513-872-5769
Practice Address - Street 1:3300 MERCY HEALTH BLVD STE 2010
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1103
Practice Address - Country:US
Practice Address - Phone:513-961-4335
Practice Address - Fax:513-872-5769
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35050519174400000X, 208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No174400000XOther Service ProvidersSpecialist
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200001300Medicaid
OH0680900Medicaid
770000279OtherRAILROAD MEDICARE
KYP00689754OtherRAILROAD MEDICARE KY
KY64862683Medicaid
OH770000251OtherRR MEDICARE
IN200001300AMedicaid
KY7100056850Medicaid
KYP00689754OtherRAILROAD MEDICARE KY
IN200001300AMedicaid
KY64862683Medicaid
OH0680900Medicaid