Organization Active NPI

Ronald K McCraw, PHD, DO, PA

  • Obstetrics & Gynecology Physician
  • Nederland, TX
National Provider Identifier
1619105079
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J0112 Issued in TX
Legal business name
RONALD K MCCRAW, PHD, DO, PA
Practice address
2300 Highway 365
Suite 610
Nederland, TX 77627-6256
Phone
(409) 727-8007
Fax
(409) 727-8033
NPI assigned
Jun 24, 2009
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Ronald Kent McCraw, PHD, DO, PANPI 1750375465
Title
Owner/Physician
Phone
(409) 727-8007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23171 TX
Obstetrics & Gynecology Physician 207V00000X J0112 TX Primary
Pediatrics Physician 208000000X J0112 TX

Addresses

Primary practice location

2300 Highway 365
Suite 610
Nederland, TX 77627-6256

Mailing address

2300 Highway 365
Suite 610
Nederland, TX 77627-6256
Phone (409) 727-8007

Other identifiers 2

IdentifierTypeStateIssuer
126999503MedicaidTX
126999502MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0917117Ronald K McCraw, PHD DO PA2300 Highway 365, Suite 610, Nederland, TX 77627Provider-performed microscopyFeb 2, 2028

National Provider Directory

National Provider Directory

Locations

2300 Highway 365
Ste 610
Nederland, TX 77627
Phone (409) 727-8007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1619105079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "SUITE 610",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-727-8007",
            "fax_number": "409-727-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HIGHWAY 365",
            "address_2": "SUITE 610",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276256",
            "telephone_number": "409-727-8007",
            "fax_number": "409-727-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD K MCCRAW, PHD, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "MCCRAW",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "409-727-8007",
        "authorized_official_credential": "PHD, DO, PA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "23171",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J0112",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J0112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126999503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126999502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.