William P Cravens, M.D.
Individual provider Active NPI Family Medicine Physician · Fulton, MO
NPI 1104802479 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1104802479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R7F41 (MO)
- Practice address
- 850 West Hospital Drive
Suite a
Fulton, MO 65251 - Phone
- (573) 592-0337
- Fax
- (573) 592-0711
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031204000772 | MO | Practitioner - Family Practice |
1951206978 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current |
Accepting new patients |
| Camden Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Callaway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Healthmont of Missouri LLC | Past | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R7F41 | MO | Yes |
| Emergency Medicine Physician | 207P00000X | R7F41 | MO |
Addresses
Primary practice location
850 West Hospital Drive
Suite a
Fulton, MO 65251
Mailing address
PO Box 6067
Fulton, MO 65251-6067
Phone (573) 592-0337
Other providers in Fulton, MO
- Community Health Ctr of Central Missouri
- Kristen Brooke Cook
- Rita Barbara Cooper
- Cornerstone Treatment Center - Missouri
- County of Callaway
- Curators of the University of Missouri
- Curators of the University of Missouri
- Curators of the University of Missouri
- Aimee Dalton
- Stanley Edgar Davies
All providers in Fulton, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.