Charles L Craig, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1500976 Issued in KS

Practice address

218 S Union St
Stafford, KS 67578-1428

Phone

(316) 644-9350

Fax

(620) 234-2002

NPI assigned

Jun 9, 2006

Last updated

Oct 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1902847072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S UNION ST",
            "city": "STAFFORD",
            "state": "KS",
            "postal_code": "675781428",
            "telephone_number": "316-644-9350",
            "fax_number": "620-234-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S UNION ST",
            "city": "STAFFORD",
            "state": "KS",
            "postal_code": "675781428",
            "telephone_number": "316-644-9350",
            "fax_number": "620-234-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 W Elm St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672033848",
            "country_code": "US",
            "telephone_number": "316-383-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "CHARLES",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlena K Allen, OTA
• Larry D Ball, MD
• Thomas Anderson Bauer, M.D.
• Jill Burbank, PA
• Tamara L Farmer, ARNP
• Raquel Garza
• Grene Vision Group LLC
• Heart of Kansas Family Health Care, Inc. (Stafford Clinic Site)
• Leisure Homestead Association (Leisure Homestead at Stafford)

• Physician Assistant in Stafford, KS
• Providers in Stafford, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.