Teresa M Craddock, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0425326 Issued in KS

Practice address

1515 S Clifton Ave
Ste 400
Wichita, KS 67218-2900

Phone

(316) 636-1550

Fax

(316) 689-9769

NPI assigned

May 16, 2006

Last updated

Jan 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Obstetrics/Gynecology

Education

University of Kansas School of Med (KC/Wich/Sal), 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Medical Group Via Christi PAGroup PAC ID 2961314497, 184 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascension Medical Group Via Christi, PA

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1063453991
  Medicare reassignment Care Compare group NPD
• Ascension Medical Group Via Christi, PA

  • Rural Health Clinic/Center
  • Wellington, KS
  • NPI 1538773569
  NPD
• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  NPD (past)
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Weight Management

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1831185065
  NPD (past)
• Ascension Via Christi Hospitals Wichita Inc.

  dba Ascension Via Christi Physician Group

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333
  NPD (past)
• Via Christi Regional Medical Center

  dba Physician Services

  • Neonatal-Perinatal Medicine Physician
  • Wichita, KS
  • NPI 1912993148
  NPD (past)
• Via Christi Regional Medical Center Inc

  dba Perinatal Laborists

  • Obstetrics & Gynecology Physician
  • Wichita, KS
  • NPI 1528256112
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1811949241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672080035",
            "telephone_number": "316-689-9135",
            "fax_number": "316-689-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CLIFTON AVE",
            "address_2": "STE 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182900",
            "telephone_number": "316-636-1550",
            "fax_number": "316-689-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0425326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "016576028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICAID",
            "identifier": "100285040N",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100285040N",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cpap & Supplies of Kansas Sleeptopie
• Cpap Suupply LLC (Lindsey Medical Supply)
• CPF Senior Living - Sedgwick, LLC (Sedgwick Plaza)
• CPF Senior Living - Waterfront LLC (Vintage Park at Waterfront)
• Monica Crabb, APRN
• Shelly C. Crader, APRN
• Bradley Craemer, M.D.
• Julie Ann Craft, DNP, APRN, FNP-C
• Autumn Crafton, LPC
• Craig B Lashley DDS PA

• Obstetrics & Gynecology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.