DR. RICHARD NEAL CRAIG (NPI# 1376704783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376704783 |
| Entity Type | Individual |
| Full Name | DR. RICHARD NEAL CRAIG |
| Credential | AUD |
| Practice Address |
2401 W Main St Va Medical Center Marion IL 62959-1188 |
| Mailing Address |
1807 Hardy Street Eldorado IL 62930 |
| Practice Telephone | 6189975311 |
| Mailing Telephone | 6189975311 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 147000639 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528595329 | Richard D Craig | Psychologist | 2178 W Windchime Dr, Meridian, ID 83646-3535 | 2017-05-11 |
| 1871632703 | Richard Lee Craig | Psychologist | 940 Montclair Rd, Suite 200, Birmingham, AL 35213-1217 | 2007-02-06 |
| 1174613764 | Richard Mcintyre Craig Jr. | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1124041769 | Richard A Craig | Dentist | 7501 Lemont Rd, Suite 300, Woodridge, IL 60517-2653 | 2006-07-25 |
| 1982644050 | Richard H. Craig | Psychologist | 435 W 4th St, Williamsport, PA 17701-6001 | 2006-06-07 |
| 1962488718 | Richard Craig | Anesthesiology | 1001 S George St, York, PA 17403-3676 | 2005-12-22 |
| Street Address |
2401 W MAIN ST VA MEDICAL CENTER |
| City | MARION |
| State | IL |
| Zip Code | 62959-1188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277696 | Keith D Stewart | Dentist | 2401 W Main St, Marion, IL 62959-1188 | 2005-12-22 |
| 1396353397 | John Gilmore | Nurse Practitioner | 2401 W Main St, Marion, IL 62959-1188 | 2020-07-16 |
| 1083230098 | Samantha Ann Kimble | Social Worker | 2401 W Main St, Marion, IL 62959-1188 | 2020-06-25 |
| 1659907954 | Jason Patton | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2020-03-18 |
| 1275164543 | Edward Staba | Psychologist | 2401 W Main St, Marion, IL 62959-1188 | 2020-01-27 |
| 1497385918 | Megan Berkel | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2020-01-23 |
| 1699316521 | Angela Trowbridge | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-10-02 |
| 1891346276 | Donna Householder | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| 1457902918 | Brenda Frazier | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| 1043861420 | Michelle Collier | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699781641 | Roxanne F Chew | Military Health Care Provider | 1700 E 38th St, Marion, IN 46953-4568 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1346638566 | Brandon C. Wagenaar | Military Health Care Provider | 1245 S Michigan Ave Ste 215, Chicago, IL 60605-2408 | 2014-12-23 |
| 1235430737 | Megan Elizabeth Schelp | Military Health Care Provider | 5820 N Kenmore Ave, Apartment 404, Chicago, IL 60660-3765 | 2010-11-15 |
| 1932434339 | Tasha Oakley | Military Health Care Provider | 104 Kenwood Ct Apt 1, Normal, IL 61761-4707 | 2009-10-02 |
| 1861512501 | Leigh Karole Grannan | Military Health Care Provider | 625 Wham Dr - Mailcode 6607, Center for Autism Spectrum Disorders, Carbondale, IL 62901-4313 | 2007-03-29 |
| 1215033790 | Jerzy Feliks Zadecki | Military Health Care Provider | 930 Mapleton Ave, Oak Park, IL 60302-1404 | 2006-09-15 |
| 1073575692 | Teresita Hernandez Huang | Military Health Care Provider | 3450 Riverside Dr, Wilmette, IL 60091-1062 | 2006-04-06 |
| 1144281882 | Luningning Gayapa Madamba | Military Health Care Provider | 5332 N Kildare Ave, Chicago, IL 60630-1759 | 2006-03-31 |
| 1154380947 | Eden U Padilla | Military Health Care Provider | Uss Red Rover, Recruit Training Center, Great Lakes, IL 60088 | 2006-03-21 |
| 1225439045 | Erin O'connor | Military Health Care Provider | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2014-09-11 |
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| 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.