Active NPI
Mary Abigail Craven, M.D.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 35122464
- Practice address
- 915 Olentangy River Rd
Suite 5000
Columbus, OH 43212 - Phone
- (614) 293-8116
- Fax
- (614) 293-4719
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35122464 | OH | |
| Neuro-ophthalmology Physician | 207WX0109X | 35122464 | OH | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 35122464 | OH | Primary |
Addresses
Primary practice location
915 Olentangy River Rd
Suite 5000
Columbus, OH 43212
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105450 | Medicaid | OH |
Other names 1
- Dr. Mary-Abigail Craven
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Ohio State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-8118
1 Gustave Levy Place
New York, NY 10029-6500
Phone 212241811848118
Hospital & facility affiliations
- Mount Sinai West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35122464 | OH | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
Locations
218 2nd Ave
New York, NY 10003
Phone (212) 979-4000
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- New York, NY
- NPI 1437421252
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1962715896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-8116",
"fax_number": "614-293-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 OLENTANGY RIVER RD",
"address_2": "SUITE 5000",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43212",
"telephone_number": "614-293-8116",
"fax_number": "614-293-4719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVEN",
"first_name": "MARY",
"middle_name": "ABIGAIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35122464",
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "OH",
"license": "35122464",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "OH",
"license": "35122464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0105450",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY-ABIGAIL",
"last_name": "CRAVEN",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.