Jennifer Mae Craig, MD
Individual provider Active NPI Family Medicine Physician · Scottsburg, IN
NPI 1851395693 · NPPES record last updated Aug 12, 2014
Key facts
- NPI
- 1851395693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01054398A (IN)
- Practice address
- 1465 N. Gardner Street
Scottsburg, IN 47170 - Phone
- (812) 752-0001
- Fax
- (812) 752-0010
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Medical Ministry | Family Medicine | Past | Accepting new patients |
| Scott Physician Group LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01054398A | IN | Yes |
Addresses
Primary practice location
1465 N. Gardner Street
Scottsburg, IN 47170
Mailing address
1465 N Gardner St
PO Box 188
Scottsburg, IN 47170-7751
Phone (812) 752-0001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200330610A | Medicaid | IN | |
| 000000370661 | Other | IN KY ANTHEM BCBS |
Other names
- Miss Jennifer Mae Martin
Other providers in Scottsburg, IN
- Erin Combs
- Comfort at Home Healthcare, Inc.
- Coordinated Health LLC
- Kimberly Cox
- Craig-West Inc
- John Howard Craig
- Scott E. Craig
- John Croasdell
- Jamie Lynn Crouse
- Lea Cuervo
All providers in Scottsburg, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.