Active NPI
David Marshall Craig, M.D.
- Plastic and Reconstructive Surgery Physician
- Tulsa, OK
National Provider Identifier
1972510790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 17252O
- Practice address
- 6585 S Yale Ave Ste 1020
Tulsa, OK 74136-8323 - Phone
- (918) 481-2900
- Fax
- (918) 481-2985
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 17252O | OK | Primary |
Addresses
Primary practice location
6585 S Yale Ave Ste 1020
Tulsa, OK 74136-8323
Mailing address
6585 S Yale Ave Ste 1020
Tulsa, OK 74136-8323
Phone (918) 481-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100145060A | Medicaid | OK |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17252O | OK | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1972510790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6585 S YALE AVE STE 1020",
"city": "TULSA",
"state": "OK",
"postal_code": "741368323",
"telephone_number": "918-481-2900",
"fax_number": "918-481-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6585 S YALE AVE STE 1020",
"city": "TULSA",
"state": "OK",
"postal_code": "741368323",
"telephone_number": "918-481-2900",
"fax_number": "918-481-2985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "DAVID",
"middle_name": "MARSHALL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "OK",
"license": "17252O",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100145060A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.