Organization Active NPI

Laura J McCrackin, MD, PC

  • Surgery Physician
  • Delta, CO
National Provider Identifier
1720162142
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
41108 Issued in CO
Legal business name
LAURA J MCCRACKIN, MD, PC
Practice address
95 Stafford LN
Delta, CO 81416-3465
Phone
(970) 874-8026
Fax
(970) 874-5430
NPI assigned
Oct 24, 2006
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Laura J McCrackin, MDNPI 1437185642
Title
Physician/Owner
Phone
(970) 874-8026

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 41108 CO Primary

Addresses

Primary practice location

95 Stafford LN
Delta, CO 81416-3465

Mailing address

PO Box 1129
Delta, CO 81416-1129
Phone (970) 874-2470

National Provider Directory

National Provider Directory

Locations

205 Stafford Ln
Delta, CO 81416
Phone (970) 874-3191

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1720162142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161129",
            "telephone_number": "970-874-2470",
            "fax_number": "970-874-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163465",
            "telephone_number": "970-874-8026",
            "fax_number": "970-874-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA J MCCRACKIN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "MCCRACKIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "970-874-8026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "41108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.