Active NPI
Laura J McCrackin, MD, PC
- Surgery Physician
- Delta, CO
National Provider Identifier
1720162142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 41108
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura J McCrackin, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryLocations
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.
-
- Surgery Physician
- Delta, CO
- NPI 1437185642
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.