Active NPI
Cynthia Hall McCraven, MD
- Obstetrics & Gynecology Physician
- Wallingford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 030434
- Practice address
- 863 N Main Street Ext Ste 301
Wallingford, CT 06492-2434 - Phone
- (203) 269-0885
- NPI assigned
- Nov 17, 2006
- Last updated
- Oct 18, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 030434 | CT | Primary |
Addresses
Primary practice location
863 N Main Street Ext Ste 301
Wallingford, CT 06492-2434
Mailing address
863 N Main Street Ext Ste 301
Wallingford, CT 06492-2434
Phone (203) 269-0885
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1024514 | Other | CT | OXFORD |
| 4124033 | Other | CT | AETNA |
| 0V0941 | Other | CT | HEALTHNET |
| 98525 | Other | CT | CIGNA |
| 010030434CT01 | Other | CT | BLUE SHIELD |
| 304340 | Other | CT | CONNECTICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|
| 030434 | CT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians for Women's Health LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461
103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789
435 Lewis Ave
Ste 212
Meriden, CT 06451
Phone (203) 238-0519
98 Main St
Ste 301
Southington, CT 06489
Phone (860) 621-6704
863 N Main Street Ext
Ste 301
Wallingford, CT 06492
Phone (203) 269-0885
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Hospital of Central Connecticut | Hospital | Corporate Director | Jun 23, 2020 |
| The Hospital of Central Connecticut | Hospital | Corporate Director | Jul 23, 2024 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
Corporate Director
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
Corporate Director
-
dba The Hospital of Central Connecticut
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
Corporate Director
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Rocky Hill, CT
- NPI 1801826680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1457425100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "863 N MAIN STREET EXT STE 301",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922434",
"telephone_number": "203-269-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "863 N MAIN STREET EXT STE 301",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922434",
"telephone_number": "203-269-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRAVEN",
"first_name": "CYNTHIA",
"middle_name": "HALL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "030434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1024514",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4124033",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0V0941",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "98525",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "010030434CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "304340",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.