Individual provider Active NPI

Ronald Kent McCraw, PH.D.,D.O.,P.A.

  • Specialist
  • Nederland, TX
National Provider Identifier
1750375465
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J0112 Issued in TX
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

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
126999502MedicaidTX

Other names 1

  • Ronald K McCraw Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100219000153 TX Practitioner - General PracticePractitioner - Obstetrics/Gynecology 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

LicenseStateTypeSpecialty
J0112TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.