Active NPI
William P Cravens, M.D.
- Family Medicine Physician
- Fulton, MO
National Provider Identifier
1104802479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R7F41
- Practice address
- 850 West Hospital Drive
Suite a
Fulton, MO 65251 - Phone
- (573) 592-0337
- Fax
- (573) 592-0711
- NPI assigned
- Dec 19, 2005
- Last updated
- Mar 11, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R7F41 | MO | Primary |
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Healthmont of Missouri LLC | Past | Accepting new patients | |
| Callaway Emergency Physicians, LLC | Emergency Medicine | 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Osage Beach, MO
- NPI 1003181637
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
- Emergency Medicine Physician
- Fulton, MO
- NPI 1922054543
-
dba DBA Callaway Community Hospital DBA Speciality Clinics
- Specialist
- Fulton, MO
- NPI 1275760829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1104802479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6067",
"city": "FULTON",
"state": "MO",
"postal_code": "652516067",
"telephone_number": "573-592-0337",
"fax_number": "573-592-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 WEST HOSPITAL DRIVE",
"address_2": "SUITE A",
"city": "FULTON",
"state": "MO",
"postal_code": "65251",
"telephone_number": "573-592-0337",
"fax_number": "573-592-0711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVENS",
"first_name": "WILLIAM",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R7F41",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "R7F41",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, MO
- Community Health Ctr of Central Missouri (Community Health Center of Central Missouri)
- Kristen Brooke Cook, RN, FNP-BC
- Rita Barbara Cooper
- Cornerstone Treatment Center - Missouri
- County of Callaway (Callaway County Health Department)
- Curators of the University of Missouri (University Physicians Specialty Care Associates)
- Curators of the University of Missouri (University Physicians)
- Curators of the University of Missouri (University Physicians Specialty Care Associates)
- Aimee Dalton, LMT
- Stanley Edgar Davies, D.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.