Randall G. Craig, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30917 Issued in CO

Practice address

910 S Hillside St
Wichita, KS 67211-4001

Phone

(316) 247-2095

Fax

(316) 330-3900

NPI assigned

Jun 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Oklahoma College of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inner City Health CenterGroup PAC ID 4688562697, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randall.craig.1@18112.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inner City Health Center

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1578539979
  Medicare reassignment Care Compare group NPD
• Inner City Health Center

  • Federally Qualified Health Center (FQHC)
  • Wheat Ridge, CO
  • NPI 1013491208
  NPD
• Platte Valley Emergency Physicians, PC

  • Emergency Medicine Physician
  • Brighton, CO
  • NPI 1508836198
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1700046422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053540",
            "telephone_number": "720-833-5014",
            "fax_number": "720-833-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114001",
            "telephone_number": "316-247-2095",
            "fax_number": "316-330-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 York St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802053540",
            "country_code": "US",
            "telephone_number": "720-833-5014 x5062",
            "fax_number": "720-833-5072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "RANDALL",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "G9084",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bornmidwifery.com",
            "affiliation": "N",
            "address_1": "910 S Hillside St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672114001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Craig Resources LLC (Craig HomeCare)
• Craig Resources LLC (Craig HomeCare)
• Craig Resources LLC (Craig HomeCare)
• Anitra Michelle Craig, D.D.S.
• Becky Craig, OTR
• Courtney Craine, LMSW
• Danielle R Cramer
• Dee Ann Cramer, PHD LP
• KC L Cramer, RN
• Emily Abigail Crandall

• Family Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.