Robert W Craven MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00029457 Issued in WA

Legal business name

ROBERT W CRAVEN MD PC

Practice address

315 E 8TH St
Port Angeles, WA 98362-6217

Phone

(360) 417-5189

Fax

(360) 417-5190

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert W Craven, MD

Title

Owner

Phone

(360) 417-5189

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Specialty Clinic Inc. PC Former legal business name

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1700090503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626217",
            "telephone_number": "360-417-5189",
            "fax_number": "360-417-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626217",
            "telephone_number": "360-417-5189",
            "fax_number": "360-417-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W CRAVEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-417-5189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00029457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091903",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Specialty Clinic Inc. PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Abel L Riojas, DMD
• Jodi Ellen Riverstone, RN, LMP
• Robert L Scott MD Inc PS
• Robert Perry, Licsw, PLLC
• Robert R. Witham, MD. Inc,PS
• Erin Krista Roberts
• Wihinnapewin Robideau
• Francesca Robison
• Shayna Maria Robnett, CO 60639490
• Emily Anna Rock, PHARM.D.

• Specialist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.