Individual provider Active NPI

Craig Allen Rawson, CCC-A

  • Audiologist
  • East Point, KY
National Provider Identifier
1831412634
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0332 Issued in KY
Practice address
220 Pennington Dr.
East Point, KY 41216
Phone
(859) 619-0571
NPI assigned
Mar 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0332 KY Primary
Hearing Instrument Specialist 237700000X 0760 KY

Addresses

Primary practice location

220 Pennington Dr.
East Point, KY 41216

Mailing address

PO Box 2223
Prestonsburg, KY 41653-2423
Phone (859) 619-0571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000751 KY Practitioner - Qualified Audiologist 6305975483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frank Daniel Mongiardo M.D. P.S.CGroup PAC ID 0941230312, 2 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr
Suite 2N
Hazard, KY 41701-9422
Phone (606) 439-4466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0332KYMDAudiologist
0760KYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Daniel Mongiardo M.D. P.S.C CurrentSince Mar 1, 2010 Accepting new patients
Familyhealthcare, PLLC Past Accepting new patients

Locations

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

200 Medical Center Dr
Ste 2N
Hazard, KY 41701
Phone (606) 439-4466

Organizations & group practices 2

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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1831412634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2223",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416532423",
            "telephone_number": "859-619-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PENNINGTON DR.",
            "city": "EAST POINT",
            "state": "KY",
            "postal_code": "41216",
            "telephone_number": "859-619-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0332",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "0760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.