Individual provider Active NPI

Yingrao Craig, P.A.

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1124386446
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07772 Issued in TX
Practice address
4461 Coit Rd
Suite 405
Frisco, TX 75035-0521
Phone
(972) 377-9200
Fax
(972) 377-9300
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07772 TX Primary

Addresses

Primary practice location

4461 Coit Rd
Suite 405
Frisco, TX 75035-0521

Mailing address

4461 Coit Rd
Suite 405
Frisco, TX 75035-0521
Phone (972) 377-9200

Other identifiers 1

IdentifierTypeStateIssuer
3034670-01MedicaidTX

Other names 1

  • Grace Craig Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120717000453 TX Practitioner - Physician Assistant 3072779156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1124386446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 COIT RD",
            "address_2": "SUITE 405",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350521",
            "telephone_number": "972-377-9200",
            "fax_number": "972-377-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 COIT RD",
            "address_2": "SUITE 405",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350521",
            "telephone_number": "972-377-9200",
            "fax_number": "972-377-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "YINGRAO",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3034670-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "CRAIG",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.