Active NPI
Earl Randy Craven, MD
- Ophthalmology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D75377
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 955-5000
- NPI assigned
- May 31, 2005
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D75377 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 955-5000
Other practice location 1
11960 Lioness Way
Suite 190
Parker, CO 80134-5640
Phone (303) 797-1900
Other practice location 2
11960 Lioness Way
Suite 190
Parker, CO 80134-5640
Phone (303) 797-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067071500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D75377 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Ophthalmology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Associated Eye Care Professionals, PC | Ophthalmology | Past | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
10751 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727
Organizations & group practices 4
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.
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- NPI 1922008549
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457354821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR STE 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-955-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-955-5000"
}
],
"practiceLocations": [
{
"address_1": "11960 Lioness Way",
"address_2": "Suite 190",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801345640",
"country_code": "US",
"telephone_number": "303-797-1900",
"fax_number": "303-347-1341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11960 Lioness Way",
"address_2": "Suite 190",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801345640",
"country_code": "US",
"telephone_number": "303-797-1900",
"fax_number": "303-347-1341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAVEN",
"first_name": "EARL",
"middle_name": "RANDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D75377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067071500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.