JOHN A. CRADDOCK M.D. NPI 1073763140

NPI Information

  • NPI: 1073763140
  • Provider Name: JOHN A. CRADDOCK, M.D.
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13123 EAST 16TH AVENUE ; B115
    AURORA, CO
    ZIP 80045
  • Phone: (720) 777-6892

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NPI Details

John A. Craddock, M.D. is a pediatric hematology-oncology pediatrics in Aurora, CO. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. John A. Craddock, M.D. NPI is 1073763140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13123 EAST 16TH AVENUE ; B115
AURORA, CO
ZIP 80045
Phone: (720) 777-6892
Fax: (720) 777-7289

The NPI 1073763140 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2008 and was last updated on 12/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsN0711TEXASNo
22080P0207XPediatricsPediatric Hematology-OncologyN0711TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18L27358MEDICARE PINTEXAS
282387273MEDICAIDCOLORADO
3COAAA0915MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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