Active NPI
Gary L Craine, M.D., P.C.
- Internal Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1316379142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13396
- Legal business name
- GARY L CRAINE, M.D., P.C.
- Practice address
- 3501 N Scottsdale Rd
Suite #250
Scottsdale, AZ 85251-5648 - Phone
- (480) 941-5266
- Fax
- (480) 941-1174
- NPI assigned
- Aug 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Lynn Craine, M.D.
- Title
- President
- Phone
- (480) 282-0302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13396 | AZ | Primary |
Addresses
Primary practice location
3501 N Scottsdale Rd
Suite #250
Scottsdale, AZ 85251-5648
Mailing address
15416 S 16TH Way
Phoenix, AZ 85048-4144
Phone (480) 282-0302
National Provider Directory
National Provider DirectoryLocations
3501 N Scottsdale Rd
Ste 250
Scottsdale, AZ 85251
Phone (480) 941-5266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375401600000",
"number": "1316379142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15416 S 16TH WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850484144",
"telephone_number": "480-282-0302",
"fax_number": "480-941-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 N SCOTTSDALE RD",
"address_2": "SUITE #250",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852515648",
"telephone_number": "480-941-5266",
"fax_number": "480-941-1174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY L CRAINE, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A",
"authorized_official_last_name": "CRAINE",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-282-0302",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "13396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.