Individual provider Active NPI

Gary L Craig, M.D.

  • Specialist
  • Spokane, WA
National Provider Identifier
1508936436
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0029482 Issued in WA
Practice address
105 W 8TH Ave
Ste 6080
Spokane, WA 99204-2313
Phone
(509) 838-6500
Fax
(509) 838-6561
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0029482 WA Primary

Addresses

Primary practice location

105 W 8TH Ave
Ste 6080
Spokane, WA 99204-2313

Mailing address

105 W 8TH Ave
Ste 6080
Spokane, WA 99204-2313
Phone (509) 838-6500

Other identifiers 1

IdentifierTypeStateIssuer
8135972MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20040712000645 WA Practitioner - Rheumatology 9234047226 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0029482WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Northwest PLLC Specialist CurrentSince Jan 1, 2005 Accepting new patients

Locations

105 W 8th Ave
Ste 6080
Spokane, WA 99204
Phone (509) 484-5355

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1508936436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "STE 6080",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042313",
            "telephone_number": "509-838-6500",
            "fax_number": "509-838-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE",
            "address_2": "STE 6080",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042313",
            "telephone_number": "509-838-6500",
            "fax_number": "509-838-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD0029482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8135972",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.