JOHN A. CRADDOCK M.D. NPI 1073763140

NPI Information

NPI: 1073763140
Provider Name: JOHN A. CRADDOCK, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

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

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 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
1	208000000X	Pediatrics		N0711	TEXAS	No
2	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	N0711	TEXAS	Yes

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
1	8L27358	MEDICARE PIN	TEXAS
2	82387273	MEDICAID	COLORADO
3	COAAA0915	MEDICARE PIN	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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