CRAIG A BACKS


Address: 2921 Greenbriar Dr, Springfield, IL 62704-6421
Phone: 2173211987

CRAIG A BACKS (NPI# 1124043252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124043252
Entity Type Individual
Full Name CRAIG A BACKS
Credential M.D.
Practice Address 2921 Greenbriar Dr
Springfield
IL 62704-6421
Practice Telephone 2173211987
Practice Fax Number 8665947830
Mailing Telephone 2173211987
Mailing Fax Number 8665947830
Enumeration Date 2006-07-12
Last Update Date 2011-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036065128 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL CATERPILLAR 6394P 01
IL CLIA CERT 14D0949277 01
IL PERSONAL CARE 170765 01
IL HEALTH ALLIANCE 008546 01
IL BLUE CROSS BLUE SHIELD 08421024 01
IL BLACK LUNG 020057300 01
IL HEALTHLINK 100364 01
IL 036065128 05
IL RR MEDICARE PIN 110201127 01
IL ACS-OWCP 133586700 01
IL RR MEDICARE GRP CD7143 01

Office Location

Street Address 2921 GREENBRIAR DR
City SPRINGFIELD
State IL
Zip Code 62704-6421

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225024136 Patricia Reichart Nurse Practitioner 2921 Greenbriar Dr, Ste C, Springfield, IL 62704 2005-09-26
1194128389 Cheryl Lee Affrunti Psychologist 2921 Greenbriar Dr, Ste. B-1, Springfield, IL 62704-6421 2014-10-01
1396084653 Kristen Lyn Wade Physical Therapist 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 2013-02-06
1639447295 Darrell B Simmermaker Physical Therapy Assistant 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 2011-12-09
1386923043 Laurie Ann Salvacion Physical Therapist 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 2011-08-12
1235421603 Craig A Backs Md LLC Internal Medicine 2921 Greenbriar Dr, Suite C, Springfield, IL 62704-6421 2011-05-04
1629200548 Bradley M. Blevins Physical Therapy Assistant 2921 Greenbriar Dr, Suite B-2, Springfield, IL 62704-6421 2009-08-11
1801957055 Physiotherapy Professionals LLC Physical Therapist 2921 Greenbriar Dr, Suite B-2, Springfield, IL 62704-6421 2006-12-12
1548212145 Richard E Dimond Psychologist 2921 Greenbriar Dr, Suite B-1, Springfield, IL 62704-6425 2006-05-16
1841242450 Keith L. Buescher Psychologist 2921 Greenbriar Dr, Suite B-1, Springfield, IL 62704-6425 2006-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902394901 Hillary Haaker Occupational Therapist 2035 W Iles, Suite C, Springfield, ID 62704 2018-04-25
1871095364 Edward Doyle Slifer Sr. Pathology 2117 Greenside Drive, Spring Field, IL 62704 2018-03-01
1598263345 Santarelli & Feller Dental Group Dentist 1140 Rickard Road, Suite B, Springfield, IL 62704 2018-01-26
1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
1730611286 Mindi Rowe Occupational Therapist 2508 County Rd 4 1/2 E, Springfield, IL 62704 2017-04-03
1366992208 Jayme Jordan Contractor 2409 Westchester Blvd, Springfield, IL 62704 2016-10-04
1154793974 Dina Payne Social Worker 917 Clocktower Drive, Suite 600, Springfield, IL 62704 2015-10-21
1770959819 James R Reynolds Hearing Instrument Specialist 2347 W Monroe St, Springfield, IL 62704 2015-08-12
1336576495 Emily Jane Dungey Counselor 920 S Spring St Ste 1300, Springfield, IL 62704 2013-10-03
1942552161 Jeannie Marie Hundley Specialist/Technologist, Other 2921 Monvale Drive, Springfield, IL 62704 2012-10-11
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

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1376068817 Personal Primary Care and Weight Management, LLC Internal Medicine 299 Carew St Ste 234, Springfield, MA 01104-2368 2017-08-05
1184145682 Basma Al-bast Internal Medicine 701 N 1st St Ste 434, Springfield, IL 62702-3757 2017-07-05
1689124604 John Duff Internal Medicine 2909 S Camber Ave, Springfield, MO 65809-3547 2016-10-13
1669834941 Siddhi Joshi Internal Medicine 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 2016-03-24
1265898936 Mohammad Rahimuddin Internal Medicine 2556 Snyder Domer Rd, Springfield, OH 45502-8161 2016-01-11
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1033589304 Hshs Medical Group Inc Internal Medicine 3215 Executive Park Dr, Springfield, IL 62703-4514 2015-09-30
1679992895 Ahlam Elbadri Internal Medicine 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 2014-04-15
1528487543 Barbara Vinci Internal Medicine 2443 Troy Rd, Springfield, OH 45504-4233 2014-04-08
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Competitor

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City SPRINGFIELD
Zip Code 62704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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