Organization Active NPI

Gary L Craine, M.D., P.C.

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1316379142
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13396 Issued in AZ
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

Updated by the provider on Aug 2, 2013

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.