Stefan B Craig, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

104024 Issued in MO

Practice address

145 Saint Peters Centre Blvd
Saint Peters, MO 63376-5103

Phone

(636) 896-0600

Fax

(636) 723-2000

NPI assigned

Jul 17, 2006

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

Medicare fee-for-service enrollment

Enrolled in MO

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 and National Provider Directory roles.

• Renaissance Plastic Surgery Assoc Inc

  • Plastic Surgery Physician
  • St Peters, MO
  • NPI 1386675874
  Medicare reassignment NPD
• SSM Health Care St Louis

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment NPD
• Executive Centre Surgical Services

  • Specialist
  • Saint Peters, MO
  • NPI 1003938887
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336167642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SAINT PETERS CENTRE BLVD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765103",
            "telephone_number": "636-896-0600",
            "fax_number": "636-723-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SAINT PETERS CENTRE BLVD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765103",
            "telephone_number": "636-896-0600",
            "fax_number": "636-723-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "STEFAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "104024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covenant in Home Service
• Covenant in Home Services LLC
• Robert D Crabtree, DMD
• Koby Ward-Ervin Craft, DC
• Lisa Craig, ATC, LAT , LMT
• Kathryn Eleanor Cramer, MOT, OTR/L
• Tarah Ann Crews, DMD
• Courtney Champagne Crider, M.D.
• Michael Joseph Critcheloe
• Lauri A Cross-Fink, MED, LPC, NCC

• Plastic Surgery Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.