Laura McCrackin, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

41108 Issued in CO

Practice address

95 Stafford LN
Delta, CO 81416-3465

Phone

(970) 874-8026

NPI assigned

Jun 23, 2006

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Springfield Surgery PC

  • Vascular Surgery Physician
  • Springfield, TN
  • NPI 1861496242
  NPD (past)
• Springfield Surgery,P.C.

  • Surgery Physician
  • Springfield, TN
  • NPI 1619928744
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1437185642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161129",
            "telephone_number": "970-874-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163465",
            "telephone_number": "970-874-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKIN",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "41108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMHP",
            "identifier": "030501671001",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "MC662516",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38603870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Ryan Marlin, M.D.
• Chris John Marshall, CRNA
• Brittany Matsumura, MD
• Thomas Paul McAnally, M.D.
• Deanna McCoy
• Naomi Ann McCrea, LCSW
• Haley Marie McCullough, P.A.-C
• Mathew R McCullough, PA-C
• Brendan McDaniel, MD
• Joyce M McKenney, M.D.

• Surgery Physician in Delta, CO
• Providers in Delta, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.