Individual provider Active NPI

Craig Alexander Dates, MD

  • Emergency Medicine Physician
  • Easton, MD
National Provider Identifier
1265521629
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
049838 Issued in GA
Practice address
219 S Washington St
Easton, MD 21601-2913
Phone
(410) 822-1000
NPI assigned
Oct 12, 2006
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 049838 GA Primary

Addresses

Primary practice location

219 S Washington St
Easton, MD 21601-2913

Mailing address

219 S Washington St
Easton, MD 21601-2913
Phone (410) 822-1000

Other identifiers 1

IdentifierTypeStateIssuer
000902041EMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD, PA, WV, TX, LA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20090109000175 DC Practitioner - Emergency Medicine 7719966407 Reassigns benefits to 1 organization
I20090910000603 VA Practitioner - Emergency Medicine 7719966407 Reassigns benefits to 2 organizations
I20110324000638 MD Practitioner - Emergency Medicine 7719966407
I20110517000067 PA Practitioner - Emergency Medicine 7719966407 Reassigns benefits to 5 organizations
I20120612000128 WV Practitioner - Emergency Medicine 7719966407 Reassigns benefits to 1 organization
I20140808000184 TX Practitioner - Emergency Medicine 7719966407 Reassigns benefits to 2 organizations
I20160802002998 LA Practitioner - Emergency Medicine 7719966407 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Sep 27, 2016 Accepting new patients
Jefferson Memorial Hospital CurrentSince Oct 5, 2022 Accepting new patients
Upmc Altoona CurrentSince Apr 2, 2011 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine Current Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Upmc Bedford Memorial Emergency Medicine CurrentSince Aug 4, 2016 Accepting new patients
Jefferson Memorial Hospital CurrentSince Oct 5, 2022 Accepting new patients
Dubois Regional Medical Center CurrentSince Jun 6, 2017 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Aug 21, 2017 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Upmc Altoona CurrentSince Apr 2, 2011 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Webb Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 3, 2015 Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince Oct 1, 2008 Accepting new patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Dec 30, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2008 Accepting new patients
Jefferson Memorial Hospital Current Accepting new patients
Upmc Bedford Memorial CurrentSince Aug 4, 2016 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Mar 10, 2021 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Jun 6, 2017 Accepting new patients
Clearfield Hospital Emergency Medicine Past Accepting new patients
Liberty Emergency Group LLC Emergency Medicine Past Accepting new patients
Worth Lake Emergency Physicians Emergency Medicine Past Accepting new patients
Clearfield Hospital Past Accepting new patients
Icem-Ball, LLC Emergency Medicine Past Accepting new patients
Peachtree Emergency Associates Emergency Medicine Past Accepting new patients
Peachtree Emergency Physicians LLC Emergency Medicine Past Accepting new patients
York Emergency Physicians Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients

Locations (25 of 29)

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

219 S Washington St
Easton, MD 21601

20010 Century Blvd
Ste 200
Germantown, MD 20874

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2068

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: cdates22082@direct.wvuhsdirect.com

Organizations & group practices 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1265521629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "410-822-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S WASHINGTON ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012913",
            "telephone_number": "410-822-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATES",
        "first_name": "CRAIG",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "049838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000902041E",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "219 S Washington St",
            "city": "Easton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216012913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.