Craig a Backs MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

248000028 Issued in IL

Legal business name

CRAIG A BACKS MD LLC

Practice address

2921 Greenbriar Dr
Suite C
Springfield, IL 62704-6421

Phone

(217) 321-1987

Fax

(866) 594-7830

NPI assigned

May 4, 2011

Last updated

May 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig Backs, M.D.NPI 1124043252

Title

Owner/Physician

Phone

(217) 321-1987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig A Backs, M.D.

  • Internal Medicine Physician
  • Springfield, IL
  • NPI 1124043252
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1235421603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 GREENBRIAR DR",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046421",
            "telephone_number": "217-321-1987",
            "fax_number": "866-594-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 GREENBRIAR DR",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046421",
            "telephone_number": "217-321-1987",
            "fax_number": "866-594-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A BACKS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "BACKS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "217-321-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "248000028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ann Elizabeth Crabtree-Marty, MD
• Caroline Crabtree, SLP
• David C Crabtree, M.D.
• Traves Dean Crabtree, MD
• Lindsay Craddock, M.S.CCC-SLP/L
• Lauren Craig
• Samantha M. Craig, CRNA
• Chales L Crane, CRNA
• Curtis M Cravens, CRNA
• Deontay Crawford

• Internal Medicine Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.