Charles C Craig, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

04-15116 Issued in KS

Practice address

800 Medical Drive
Suite 240
Newton, KS 67114-3765

Phone

(316) 283-9977

Fax

(316) 283-0966

NPI assigned

Apr 26, 2006

Last updated

Jan 14, 2013By 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 7

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Newton Healthcare Corporation

  dba Newton Medical Center

  • Family Medicine Physician
  • Newton, KS
  • NPI 1871588533

  Orthopaedic Surgery

  Medicare reassignment NPD
• Axtell Orthopedics PA

  • Specialist
  • Newton, KS
  • NPI 1669475539
  NPD (past) Authorized official
• Newton Healthcare Corporation

  dba NMC Health Home Health Agency

  • Home Health Agency
  • Newton, KS
  • NPI 1588755169
  NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1508823485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDICAL DRIVE",
            "address_2": "SUITE 240",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143765",
            "telephone_number": "316-283-9977",
            "fax_number": "316-283-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL DRIVE",
            "address_2": "SUITE 240",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143765",
            "telephone_number": "316-283-9977",
            "fax_number": "316-283-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-15116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4097036",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "668050",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200037434",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "042441",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1318290001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEATH CARE",
            "identifier": "198",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100086660G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff C Couchman, PT
• County of Harvey (Harvey County Health Department)
• Christian Cox
• Luke I Cox, CRNA
• Craig W. Baier, O.D., LLC (Baier Family Optometry)
• Kesha Crichlow, M.D.
• Megan Crowe, PHARMD
• Lacey Cruse, LPC
• Paul Daigle, LAC
• Joshua A Dalton, ATC

• Orthopaedic Surgery Physician in Newton, KS
• Providers in Newton, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.