Steven Lee Craddick, PA-C, MPAS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

250 Issued in AK

Practice address

1867 Airport Frontage Road
Suite B (U.S. Healthworks Alaska)
Fairbanks, AK 99701-1867

Phone

(907) 452-2178

Fax

(907) 452-3178

NPI assigned

Feb 9, 2012

Last updated

Mar 7, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487926218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT FRONTAGE ROAD",
            "address_2": "SUITE B (U.S. HEALTHWORKS ALASKA)",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011867",
            "telephone_number": "907-452-2178",
            "fax_number": "907-452-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AIRPORT FRONTAGE ROAD",
            "address_2": "SUITE B (U.S. HEALTHWORKS ALASKA)",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997011867",
            "telephone_number": "907-452-2178",
            "fax_number": "907-452-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDICK",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PA LICENSE NUMBER",
            "identifier": "250",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Cox, BCAT
• Nancy Marie Cox, CPNP
• Stacey Ann Cox, RN
• John Lee Coxwell
• Christine Coyle, DPT
• Victoria Craddick, PHN
• Michaela Ashley Craft, MS, LPC
• Jessica Lynn Craig
• Barbara Crane
• Christian Darwin Crank

• Medical Physician Assistant in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.