Organization Active NPI

Jennifer M. Craig MD PC

  • Family Medicine Physician
  • Scottsburg, IN
National Provider Identifier
1700045374
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01054398A Issued in IN
Legal business name
JENNIFER M. CRAIG MD PC
Practice address
1469 N. Gardner Street
Ste. #2
Scottsburg, IN 47170-7751
Phone
(812) 752-0001
Fax
(812) 752-0010
NPI assigned
Jun 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Dr. Jennifer M Craig, MD
Title
Owner
Phone
(812) 752-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01054398A IN Primary

Addresses

Primary practice location

1469 N. Gardner Street
Ste. #2
Scottsburg, IN 47170-7751

Mailing address

1469 N. Gardner Street
Ste. #2
Scottsburg, IN 47170-7751
Phone (812) 752-0001

National Provider Directory

National Provider Directory

Locations

1469 N Gardner St
Ste 2
Scottsburg, IN 47170
Phone (812) 752-0001

1469 N Gardner St
#2
Scottsburg, IN 47170
Phone (812) 752-4656

1465 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0001

NPI Registry JSON

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

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1700045374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 N. GARDNER STREET",
            "address_2": "STE. #2",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707751",
            "telephone_number": "812-752-0001",
            "fax_number": "812-752-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 N. GARDNER STREET",
            "address_2": "STE. #2",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707751",
            "telephone_number": "812-752-0001",
            "fax_number": "812-752-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M. CRAIG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-08",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-752-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054398A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.