Active NPI
Craig Harris Fletcher, MD
- Blood Banking & Transfusion Medicine Physician
- Royal Oak, MI
National Provider Identifier
1083816136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- ME111481
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073 - Phone
- (248) 898-9060
- Fax
- (248) 898-9054
- NPI assigned
- Jun 1, 2007
- 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 | 4301096457 | MI | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | ME111481 | FL | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073
Mailing address
26901 Beaumont Blvd
Suite 3D
Southfield, MI 48033-3849
Phone (947) 522-1861
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-7839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004370800 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Hospital of Los Angeles | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1083816136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD",
"address_2": "SUITE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849",
"telephone_number": "947-522-1861",
"fax_number": "947-522-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-898-9060",
"fax_number": "248-898-9054"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-273-7839",
"fax_number": "352-392-6249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLETCHER",
"first_name": "CRAIG",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301096457",
"primary": false
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "FL",
"license": "ME111481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004370800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.