Active NPI
Raycraft & Jones, LLC
- Orthopaedic Surgery Physician
- Decatur, IL
National Provider Identifier
1497890453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- RAYCRAFT & JONES, LLC
- Practice address
- 304 W Hay St
Suite 111
Decatur, IL 62526-6328 - Phone
- (217) 875-8100
- Fax
- (217) 872-5486
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edmund W Raycraft, M.D.
- Title
- Partner
- Phone
- (217) 875-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
304 W Hay St
Suite 111
Decatur, IL 62526-6328
Mailing address
304 W Hay St
Suite 111
Decatur, IL 62526-6328
Phone (217) 875-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5574560001 | Other | IL | MEDICARE DME # |
| DE1276 | Other | IL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
304 W Hay St
Ste 111
Decatur, IL 62526
Phone (217) 872-8200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1497890453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 W HAY ST",
"address_2": "SUITE 111",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266328",
"telephone_number": "217-875-8100",
"fax_number": "217-872-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W HAY ST",
"address_2": "SUITE 111",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266328",
"telephone_number": "217-875-8100",
"fax_number": "217-872-5486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYCRAFT & JONES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "RAYCRAFT",
"authorized_official_first_name": "EDMUND",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "217-875-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME #",
"identifier": "5574560001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE1276",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.