Active NPI
Craig D. McNabb MD PC
- Physical Medicine & Rehabilitation Physician
- Corvallis, OR
National Provider Identifier
1821269549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD18111
- Legal business name
- CRAIG D. MCNABB MD PC
- Practice address
- 3600 NW Samaritan Dr
Corvallis, OR 97330-3737 - Phone
- (541) 757-7200
- Fax
- (541) 757-7101
- NPI assigned
- Mar 20, 2008
- 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
- Dr. Craig David McNabb, MD
- Title
- Physician
- Phone
- (541) 757-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD18111 | OR | Primary |
Addresses
Primary practice location
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Mailing address
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 757-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127386 | Medicaid | OR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1821269549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 NW SAMARITAN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303737",
"telephone_number": "541-757-7200",
"fax_number": "541-757-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 NW SAMARITAN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303737",
"telephone_number": "541-757-7200",
"fax_number": "541-757-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG D. MCNABB MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "MCNABB",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "541-757-7200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "OR",
"license": "MD18111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127386",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.