Individual provider Active NPI

Hugh M Cradduck, DC

  • Chiropractor
  • Oxford, OH
National Provider Identifier
1891896429
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3701 Issued in OH
Practice address
5144 College Corner Pike Ste a
Oxford, OH 45056-1068
Phone
(513) 524-4800
Fax
(513) 523-8631
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Medical Health & Wellness Center LLC Chiropractor CurrentSince Oct 29, 2023 Accepting new patients

Locations

5144 College Corner Pike
Ste A
Oxford, OH 45056
Phone (513) 524-4800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3701 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

5144 College Corner Pike Ste a
Oxford, OH 45056-1068

Mailing address

5144 College Corner Pike Ste a
Oxford, OH 45056-1068
Phone (513) 524-4800

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
000000392716OtherOHANTHEM
2648531MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2023.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1891896429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 COLLEGE CORNER PIKE STE A",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561068",
            "telephone_number": "513-524-4800",
            "fax_number": "513-523-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 COLLEGE CORNER PIKE STE A",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561068",
            "telephone_number": "513-524-4800",
            "fax_number": "513-523-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDUCK",
        "first_name": "HUGH",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000392716",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2648531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.