Active NPI
Craig D. Pope, M.D.
- Family Medicine Physician
- High Ridge, MO
National Provider Identifier
1073588331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2002008188
- Practice address
- 1 Dillon Plaza Dr
High Ridge, MO 63049-2478 - Phone
- (636) 677-3012
- Fax
- (636) 677-3174
- NPI assigned
- Feb 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2002008188 | MO | Primary |
Addresses
Primary practice location
1 Dillon Plaza Dr
High Ridge, MO 63049-2478
Mailing address
1 Dillon Plaza Dr
High Ridge, MO 63049-2478
Phone (636) 677-3012
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 |
|---|---|---|---|
| 2002008188 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Past | Accepting new patients | |
| Physician Groups LC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1386684736
-
- Rural Health Clinic/Center
- Sullivan, MO
- NPI 1235228222
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1073588331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DILLON PLAZA DR",
"city": "HIGH RIDGE",
"state": "MO",
"postal_code": "630492478",
"telephone_number": "636-677-3012",
"fax_number": "636-677-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DILLON PLAZA DR",
"city": "HIGH RIDGE",
"state": "MO",
"postal_code": "630492478",
"telephone_number": "636-677-3012",
"fax_number": "636-677-3174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "CRAIG",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2002008188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Ridge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.