Thomas L. Craig III M.D. Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

35057208 Issued in OH

Legal business name

THOMAS L. CRAIG III M.D. INC

Practice address

2225 Noble Rd
Cleveland Heights, OH 44112-1726

Phone

(216) 761-0330

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas L Craig III, M.D.

Title

President

Phone

(216) 761-0330

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1013095496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 NOBLE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441121726",
            "telephone_number": "216-761-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 NOBLE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441121726",
            "telephone_number": "216-761-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L. CRAIG III M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-761-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "35057208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000496395",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0816915",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Legal Medicine in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.