Mary K. Craddock MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0044988 Issued in MD

Legal business name

MARY K. CRADDOCK MD PC

Practice address

5550 Friendship Blvd
Suite 270
Chevy Chase, MD 20815-7256

Phone

(301) 215-7347

NPI assigned

Aug 13, 2008

Last updated

Aug 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary K Craddock, M.D.NPI 1205922291

Title

President

Phone

(301) 317-0020

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mary K Craddock, MEDICAL DOCTOR

  • Anesthesiology Physician
  • Chevy Chase, MD
  • NPI 1205922291
  Authorized official Same address or phone

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1639325319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207250639",
            "telephone_number": "301-317-0020",
            "fax_number": "301-317-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD",
            "address_2": "SUITE 270",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157256",
            "telephone_number": "301-215-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K. CRADDOCK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-317-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0044988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "6379",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Warren Martin, DDS
• Jennifer Lyn Martin, P.T.
• Neil F Martin, MD
• Emily L Martinson, AU.D., PH.D.
• Mary C Dupont MD PC (Dupont Center for Urology)
• Maryland Center for Evidence Based Therapy LLC
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy #11452)
• Maryland Institute for Neuroscience and Development
• Maryland Luna Care Physical Therapy LLC
• Maryland Oncology Hematology, PA

• Anesthesiology Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.