MEDICARE: JOHN M MCCRANEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	1015504	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467453183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M MCCRANEY MD

Provider Business Mailing Address
First Line	:	25500 POINT LOOKOUT RD
Second Line	:	BOX 527
City	:	LEONARDTOWN
State	:	MD
Zip	:	20650-2015
Country	:	US
Telephone Number	:	301-690-2503
Fax Number	:	301-997-6507

Provider Business Practice Location Address
First Line	:	25500 POINT LOOKOUT RD
Second Line	:	BOX 527
City	:	LEONARDTOWN
State	:	MD
Zip	:	20650-2015
Country	:	US
Telephone Number	:	301-690-2503
Fax Number	:	301-997-6507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	04/12/2011

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