Active NPI
Ronald Kent McCraw, PH.D.,D.O.,P.A.
- Specialist
- Nederland, TX
National Provider Identifier
1750375465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- J0112
- Practice address
- 2300 Highway 365
Suite 610
Nederland, TX 77627-6256 - Phone
- (409) 727-8007
- Fax
- (409) 727-8033
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | J0112 | TX | Primary |
Addresses
Primary practice location
2300 Highway 365
Suite 610
Nederland, TX 77627-6256
Mailing address
2300 Highway 365
610
Nederland, TX 77627-6256
Phone (409) 727-8007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126999502 | Medicaid | TX |
Other names 1
- Ronald K McCraw
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100219000153 | TX | Practitioner - General Practice | 6204970940 | Practice locations: Nederland, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J0112 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald K McCraw, PHD, DO, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Nederland, TX
- NPI 1619105079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1750375465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 HIGHWAY 365",
"address_2": "610",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776276256",
"telephone_number": "409-727-8007",
"fax_number": "409-727-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 HIGHWAY 365",
"address_2": "SUITE 610",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776276256",
"telephone_number": "409-727-8007",
"fax_number": "409-727-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRAW",
"first_name": "RONALD",
"middle_name": "KENT",
"credential": "PH.D.,D.O.,P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "J0112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126999502",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RONALD",
"last_name": "MCCRAW",
"middle_name": "K",
"credential": "PH.D.,D.O.,P.A.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Nederland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.