Active NPI
Eileen E Cravens, MD
- Gastroenterology Physician
- Richmond, IN
National Provider Identifier
1972683688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 01032201B
- Practice address
- 1050 Reid Pkwy
Suite 130
Richmond, IN 47374-1155 - Phone
- (765) 983-3208
- Fax
- (765) 983-3207
- NPI assigned
- Oct 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 01032201B | IN | Primary |
Addresses
Primary practice location
1050 Reid Pkwy
Suite 130
Richmond, IN 47374-1155
Mailing address
1050 Reid Pkwy
Suite 130
Richmond, IN 47374-1155
Phone (765) 983-3208
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000143179 | Other | BLUE CROSS | |
| 100826 | Other | BLACK LUNG | |
| 0690711 | Medicaid | OH | |
| 110020161 | Other | RAILROAD MEDICARE | |
| 100256900A | Medicaid | IN |
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 |
|---|---|---|---|
| 01032201B | IN | MD | Gastroenterology Physician |
Interoperability endpoints
- ecravens302394@ecommunitydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1972683688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 REID PKWY",
"address_2": "SUITE 130",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741155",
"telephone_number": "765-983-3208",
"fax_number": "765-983-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 REID PKWY",
"address_2": "SUITE 130",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741155",
"telephone_number": "765-983-3208",
"fax_number": "765-983-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVENS",
"first_name": "EILEEN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01032201B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000143179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "100826",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0690711",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110020161",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100256900A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.