Active NPI
Ronald K McCraw, PHD, DO, PA
- Obstetrics & Gynecology Physician
- Nederland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- J0112
- 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, 2012
- 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
- Ronald Kent McCraw, PHD, DO, PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126999503 | Medicaid | TX | |
| 126999502 | Medicaid | TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0917117 | Ronald K McCraw, PHD DO PA | Provider-performed microscopy | Feb 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Nederland, TX
- NPI 1750375465
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.