Individual provider Active NPI

Teresa G Craig, M.D.

  • Radiation Oncology Physician
  • Oklahoma City, OK
National Provider Identifier
1932109279
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
15706 Issued in OK
Practice address
3300 NW 56TH St
Ste Ll100
Oklahoma City, OK 73112-4538
Phone
(405) 488-0700
Fax
(405) 488-0701
NPI assigned
Jul 28, 2005
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 15706 OK Primary

Addresses

Primary practice location

3300 NW 56TH St
Ste Ll100
Oklahoma City, OK 73112-4538

Mailing address

3300 NW 56TH
Ste Ll100
Oklahoma City, OK 73112-4499
Phone (405) 488-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15706OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Cancer Center GP LLC Radiation Oncology CurrentSince Sep 16, 2018 Accepting new patients
Norman Urology Associates PC CurrentSince Jul 31, 2009 Accepting new patients
Radiation Medicine Associates, P.C. Radiation Oncology PastSince Jan 1, 2003 Accepting new patients
Surgical Specialists of Oklahoma PLLC Past Accepting new patients

Locations

2117 Riverwalk Dr
Moore, OK 73160
Phone (405) 610-1656

301 N 32nd St
Muskogee, OK 74401
Phone (918) 683-2000

3300 Chandler Rd
Ste 106
Muskogee, OK 74403
Phone (918) 608-0350

500 E Robinson St
Ste 1300
Norman, OK 73071
Phone (405) 360-9966

230 N Midwest Blvd
Oklahoma City, OK 73110
Phone (405) 737-8455

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1932109279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NW 56TH",
            "address_2": "STE LL100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124499",
            "telephone_number": "405-488-0700",
            "fax_number": "405-488-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW 56TH ST",
            "address_2": "STE LL100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124538",
            "telephone_number": "405-488-0700",
            "fax_number": "405-488-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "TERESA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "15706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.