Charles P Craig MD PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

CC052386 Issued in MI

Legal business name

CHARLES P CRAIG MD PC

Practice address

4870 W Clark Rd
Suite 204
Ypsilanti, MI 48197-1104

Phone

(734) 528-9111

Fax

(734) 528-9082

NPI assigned

Feb 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charles Poe Craig, MEDICAL DOCTOR

Title

Owner

Phone

(734) 528-9111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1790017416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD",
            "address_2": "SUITE 204",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "734-528-9111",
            "fax_number": "734-528-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD",
            "address_2": "SUITE 204",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "734-528-9111",
            "fax_number": "734-528-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES P CRAIG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "POE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-528-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "CC052386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4414481",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Chang, M.D.
• Tammy Chang, M.D.
• Jake James Chantos, PA-C
• Christopher Hans Chapman, M.D., M.S.
• William Chapman, DDS
• Karl Charlson, MD
• Alexandra R Chatas, RN
• Krishnavel V Chathadi, MD
• Chaya Kenkre, MD., PLLC
• En Hui Cheah

• Infectious Disease Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.