Active NPI
William Robert Craig, M.D.
- Internal Medicine Physician
- Reno, NV
National Provider Identifier
1053643007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14202
- Practice address
- 75 Pringle Way
Ste 601
Reno, NV 89502-1464 - Phone
- (775) 982-5000
- Fax
- (775) 982-3900
- NPI assigned
- Feb 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD09249 | OR | |
| Internal Medicine Physician | 207R00000X | 14202 | NV | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 14202 | NV |
Addresses
Primary practice location
75 Pringle Way
Ste 601
Reno, NV 89502-1464
Mailing address
780 Kuenzli St Ste 202
Reno, NV 89502-0837
Phone (775) 982-5262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053643007 | Medicaid | NV | |
| 12306007 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14202 | NV | MD | Geriatric Medicine (Internal Medicine) Physician |
| MD09249 | OR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1053643007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 KUENZLI ST STE 202",
"city": "RENO",
"state": "NV",
"postal_code": "895020837",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PRINGLE WAY",
"address_2": "STE 601",
"city": "RENO",
"state": "NV",
"postal_code": "895021464",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "WILLIAM",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-02",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OR",
"license": "MD09249",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "14202",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NV",
"license": "14202",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053643007",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12306007",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.