Jennifer Christina Craig, CST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

91275 Issued in OK

Practice address

6465 S Yale Ave
Suite 900
Tulsa, OK 74136-7823

Phone

(918) 481-4800

Fax

(918) 481-4815

NPI assigned

Jun 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jennifer Christine Potter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgical Associates, Inc.

  • Surgery Physician
  • Tulsa, OK
  • NPI 1396706578
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1063851863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE",
            "address_2": "SUITE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367823",
            "telephone_number": "918-481-4800",
            "fax_number": "918-481-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE",
            "address_2": "SUITE 900",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367823",
            "telephone_number": "918-481-4800",
            "fax_number": "918-481-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "OK",
            "license": "91275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "POTTER",
            "middle_name": "CHRISTINE",
            "prefix": "MISS",
            "credential": "CST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cameron Craig, D.D.S.
• Chad Owen Craig, DC
• Daryelle Lenee Craig
• David Marshall Craig, M.D.
• Glenn Craig, MD
• Kelly Irene Craig
• Kyle E Craig, O.D.
• Macy Marie Craig
• Ronald Craig
• Saura Elizabeth Craig, PT AT

• Surgical Technologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Surgical Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.