Edward E Craven, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301085500 Issued in MI

Practice address

805 S Oakland St
Saint Johns, MI 48879-2253

Phone

(989) 227-3358

Fax

(989) 227-3349

NPI assigned

Dec 20, 2005

Last updated

Apr 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Kalkaska Memorial Health Center

  • Family Medicine Physician
  • Kalkaska, MI
  • NPI 1013183060

  Emergency Medicine

  Medicare reassignment NPD
• Sparrow Clinton Hospital

  dba University of Michigan Health-Sparrow Clinton Hospital Emergency Depar

  • Emergency Medicine Physician
  • Saint Johns, MI
  • NPI 1396827952
  Medicare reassignment NPD
• Kalkaska Memorial Health Center

  • Skilled Nursing Facility
  • Kalkaska, MI
  • NPI 1164386652
  NPD
• Kalkaska Memorial Health Center

  • Rural Health Clinic/Center
  • Kalkaska, MI
  • NPI 1306968102
  NPD
• Sparrow Clinton Hospital

  dba SMG St Johns

  • Multi-Specialty Clinic/Center
  • Saint Johns, MI
  • NPI 1306893078
  NPD
• Northwestern Michigan Emergency Physicians PC

  • Emergency Medicine Physician
  • Traverse City, MI
  • NPI 1073597944
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1316923428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792253",
            "telephone_number": "989-227-3358",
            "fax_number": "989-227-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792253",
            "telephone_number": "989-227-3358",
            "fax_number": "989-227-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "EDWARD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301085500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2341193",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreckmh@direct.mhc.net",
            "affiliation": "N",
            "address_1": "419 S Coral St",
            "city": "Kalkaska",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496462503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandy Elizabeth Cook, D.O.
• Karrah Cooley, LLPC
• Cynthia Marie Cooney
• Michael Paul-David Cooper, LMSW
• Joseph Anthony Cosentino
• Abigail Janice Cudney
• Raquel Lauryne Cunningham, DDS
• Laura Louise Curtis, C.F.N.P.
• Jennifer Cutting, LLMSW
• David J. Goeckel DDS PC

• Emergency Medicine Physician in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.