NPIMap

Organization Active NPI

Russell W. Craig DO, PC

Doing business as Institute for Ear Nose and Throat Surgery

  • Otolaryngology Physician
  • Macomb, MI
National Provider Identifier
1689867046
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
RC011400 Issued in MI
Legal business name
RUSSELL W. CRAIG DO, PC
Doing business as
Institute for Ear Nose and Throat Surgery
Practice address
17901 Hall Rd
Macomb, MI 48044-4557
Phone
(586) 412-0900
Fax
(586) 412-9762
NPI assigned
Aug 20, 2007
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Russell Wayne Craig, D.O., F.A.O,C.O.NPI 1508979436
Title
Owner
Phone
(586) 412-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X RC011400 MI Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X RC011400 MI

Addresses

Primary practice location

17901 Hall Rd
Macomb, MI 48044-4557

Mailing address

17901 Hall Rd
Macomb, MI 48044-4557
Phone (586) 412-0900

Other names 1

  • INSTITUTE FOR EAR NOSE AND THROAT SURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

17901 Hall Rd
Macomb, MI 48044
Phone (586) 412-0900

17965 Hall Rd
Macomb, MI 48044
Phone (586) 412-0900

Practitioners & affiliated clinicians

Practitioners 3

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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1689867046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444557",
            "telephone_number": "586-412-0900",
            "fax_number": "586-412-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444557",
            "telephone_number": "586-412-0900",
            "fax_number": "586-412-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL W. CRAIG DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-412-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., F.A.O,C.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "RC011400",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "RC011400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSTITUTE FOR EAR NOSE AND THROAT SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.