Active NPI
Jeffrey Brian Craig, M.D.
- Internal Medicine Physician
- Owasso, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 27305
- Practice address
- 12455 E 100TH St N Ste 350
Owasso, OK 74055-4675 - Phone
- (918) 274-5510
- Fax
- (918) 403-6312
- NPI assigned
- Jun 22, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27305 | OK | Primary |
Addresses
Primary practice location
12455 E 100TH St N Ste 350
Owasso, OK 74055-4675
Mailing address
12455 E 100TH St N Ste 350
Owasso, OK 74055-4675
Phone (918) 274-5510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11402 N 135TH E Ave
Owasso, OK 74055-5701
Phone (918) 212-7373
1245 S Utica Ave
Tulsa, OK 74104-4214
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Omni Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients |
Locations
11402 N 135th East Ave
Owasso, OK 74055
Phone (918) 212-7373
12455 E 100th St N
Ste 350
Owasso, OK 74055
Phone (918) 274-5510
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
Interoperability endpoints
- jcraig274013@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Internal Medicine
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1174578249
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1205846037
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1497982052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12455 E 100TH ST N STE 350",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554675",
"telephone_number": "918-274-5510",
"fax_number": "918-403-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12455 E 100TH ST N STE 350",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554675",
"telephone_number": "918-274-5510",
"fax_number": "918-403-6312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "JEFFREY",
"middle_name": "BRIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "27305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.