Active NPI
Benjamin Craxton, MD
- Emergency Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 303286
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203 - Phone
- (315) 448-5536
- NPI assigned
- Jun 8, 2017
- Last updated
- May 6, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 303286 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Syracuse, NY 13203
Mailing address
301 Prospect Ave
Syracuse, NY 13203-1807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, LA, FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of Ny Upstate Medical University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
824 Elmwood Park Blvd
Suite 135
Harahan, LA 70123-3337
Phone (504) 370-9966
949 48TH St
Brooklyn, NY 11219-2919
Phone (702) 417-6255
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mylaurel Medical Group la, LLC | Current | Accepting new patients | |
| Mylaurel Medical Group Ny, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Virta Medical P.C. | Past | Accepting new patients | |
| Mylaurel Medical Group NJ, PC | Past | Accepting new patients |
Locations
824 Elmwood Park Blvd
Ste 135
New Orleans, LA 70123
Phone (504) 266-2576
949 48th St
Brooklyn, NY 11219
Phone (702) 417-6255
885 3rd Ave
Fl 29
New York, NY 10022
Phone (866) 603-7803
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
Interoperability endpoints
- bcraxton2180880@direct.ochsner.org
- benjamin.craxton.1@25238.direct.athenahealth.com
Organizations & group practices 5
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.
-
- General Practice Physician
- New York, NY
- NPI 1477214237
Emergency Medicine
-
- General Practice Physician
- New Orleans, LA
- NPI 1306341060
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- General Practice Physician
- Denville, NJ
- NPI 1942815295
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1093225138
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Oneida Healthcare Center
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1063941433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13203",
"telephone_number": "315-448-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAXTON",
"first_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-08",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "303286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.