Active NPI
Samuel C Craft, MD
- Obstetrics & Gynecology Physician
- St Francis, WI
National Provider Identifier
1477631950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20908
- Practice address
- 2000 E. Layton Ave.
Ste 140
St. Francis, WI 53235-6053 - Phone
- (414) 769-8009
- Fax
- (414) 769-5445
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 20908 | WI | Primary |
Addresses
Primary practice location
2000 E. Layton Ave.
Ste 140
St. Francis, WI 53235-6053
Mailing address
100-15TH Ave.
Ste 180
South Milwaukee, WI 53172-1160
Phone (414) 768-5430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- scraft23510@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1477631950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100-15TH AVE.",
"address_2": "STE 180",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531721160",
"telephone_number": "414-768-5430",
"fax_number": "414-762-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E. LAYTON AVE.",
"address_2": "STE 140",
"city": "ST. FRANCIS",
"state": "WI",
"postal_code": "532356053",
"telephone_number": "414-769-8009",
"fax_number": "414-769-5445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFT",
"first_name": "SAMUEL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "20908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Francis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.