Organization Active NPI

William V. Craig, M.D., P.C.

  • Internal Medicine Physician
  • Shortsville, NY
National Provider Identifier
1154519775
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
136959 Issued in NY
Legal business name
WILLIAM V. CRAIG, M.D., P.C.
Practice address
1779 Route 21
Shortsville, NY 14548-9718
Phone
(585) 289-8888
Fax
(585) 289-9331
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
William V. Craig, M.D.
Title
Owner/President
Phone
(585) 289-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 136959 NY Primary

Addresses

Primary practice location

1779 Route 21
Shortsville, NY 14548-9718

Mailing address

1779 Route 21
PO Box 10
Shortsville, NY 14548-9718
Phone (585) 289-8888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1154519775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 ROUTE 21",
            "address_2": "PO BOX 10",
            "city": "SHORTSVILLE",
            "state": "NY",
            "postal_code": "145489718",
            "telephone_number": "585-289-8888",
            "fax_number": "585-289-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 ROUTE 21",
            "city": "SHORTSVILLE",
            "state": "NY",
            "postal_code": "145489718",
            "telephone_number": "585-289-8888",
            "fax_number": "585-289-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM V. CRAIG, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "585-289-8888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "136959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shortsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.