Elise Craig, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

34.014914 Issued in OH

Practice address

1133 Medina Rd Ste 100
Medina, OH 44256-5913

Phone

(330) 239-4350

Fax

(330) 239-4584

NPI assigned

Apr 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Michigan State University College of Osteopathic Medicine, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.39 of 100Reported as individual

Quality

84.89

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Dermatologic Surgery Center of Northeast Ohio Inc

  • MOHS-Micrographic Surgery Physician
  • Medina, OH
  • NPI 1205104601
  Medicare reassignment NPD

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1922533876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 MEDINA RD STE 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565913",
            "telephone_number": "330-239-4350",
            "fax_number": "330-239-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 MEDINA RD STE 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565913",
            "telephone_number": "330-239-4350",
            "fax_number": "330-239-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ELISE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.014914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL LICENSE",
            "identifier": "34.014914",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Medina Auditor
• Cowboys and Angels Therapy Inc.
• Becky Coyner, CNP
• Kara Lois Crabill, DC
• Brandon M Craig, PHARMD, RPH, BCACP
• Morgan Crail, LISW
• Erica Genevive Craver
• Victoria Catherine Crawford, CNP
• Creative Attunement LLC
• Veronica Crites, COTA.L

• Dermatology Physician in Medina, OH
• Providers in Medina, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.