KEVIN W CRAIG


Address: 3217 S Providence Rd, Columbia, MO 65203-3639
Phone: 5738847733

KEVIN W CRAIG (NPI# 1720046881) 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) 1720046881
Entity Type Individual
Full Name KEVIN W CRAIG
Credential MD
Practice Address 3217 S Providence Rd
Columbia
MO 65203-3639
Mailing Address Po Box 7687
Columbia
MO 65205-7687
Practice Telephone 5738847733
Practice Fax Number 5738845559
Mailing Telephone 5738822259
Enumeration Date 2006-05-01
Last Update Date 2011-04-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 2000160622 MO Allopathic & Osteopathic Physicians
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
31239 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO UNITED HEALTHCARE 103684 01
MO HEALTHLINK 480629 01
SC MEDICARE AA37587730 01
MO BLUE SHIELD 157694 01
MO 205839905 05
MO BLUE CHOICE 157694 01

Other Providers KEVIN CRAIG

NPI Name Taxonomy Address Enumeration
1952456816 Kevin J Craig Specialist 11607 N Sparrow Ln, Fountain Hills, AZ 85268-5045 2007-01-23
1053769968 Kevin Craig Physical Therapist 930 W Ralph Hall Pkwy, Ste 120, Rockwall, TX 75032-6665 2016-06-01
1386909745 Kevin D Craig Physical Therapist 9500 Mentor Ave, Suite 210, Mentor, OH 44060-8713 2012-07-11
1912089061 Kevin L Craig Ophthalmology 1011 Sylvan Ave, #c, Modesto, CA 95350-1692 2006-10-19

Office Location

Street Address 3217 S PROVIDENCE RD
City COLUMBIA
State MO
Zip Code 65203-3639

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295734606 Cari M. Worley Henry Family Medicine 3217 S Providence Rd, Columbia, MO 65203-3639 2005-07-18
1427498906 Gurdeep Singh Manhas Family Medicine 3217 S Providence Rd, Columbia, MO 65203-3639 2013-06-28
1699039594 Kenneth Shu-wen Tan Family Medicine 3217 S Providence Rd, Columbia, MO 65203-3639 2012-06-26
1891069209 Katherine Allhoff Dietitian, Registered 3217 S Providence Rd, Columbia, MO 65203-3639 2012-03-02
1629276043 Aaron Gray Family Medicine 3217 S Providence Rd, Dc032.00, Columbia, MO 65203-3639 2007-07-06
1588674006 Timothy Joseph Fete Pediatrics 3217 S Providence Rd, Columbia, MO 65203-3639 2006-08-08
1720019268 Sonia M Acevedo Espinoza Family Medicine 3217 S Providence Rd, Columbia, MO 65203-3639 2006-07-05
1811944481 Kathleen M Doisy Pediatrics 3217 S Providence Rd, Columbia, MO 65203-3639 2006-05-28
1245287325 Georgia Nolph Family Medicine 3217 S Providence Rd, Columbia, MO 65203-3639 2006-05-27
1780639120 Margaret C Wang Pediatrics 3217 S Providence Rd, Columbia, MO 65212-0001 2006-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982229498 Rebecca Wallace Counseling LLC Clinic/Center 207 Peach Way, Suite 110, Columbia, MO 65203 2020-06-10
1144797101 Mary Zhang Family Medicine 200 Southampton Drive, Ste 102, Columbia, MO 65203 2018-10-29
1871090258 Hina Omer Khokhar Pathology 4601 Apt F West Millbrook Dr, Columbia, MO 65203 2018-04-11
1154820157 David Vincent Spencer Internal Medicine 201 W Broadway Building, Suite E, Columbia, MO 65203 2018-02-05
1598283103 Donna Strickland Counselor 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 2017-09-03
1134643182 Anna Kathryn Christensen Physician Assistant 4107 Baurichter Dr., Columbia, MO 65203 2017-08-01
1558885871 Juan Camilo Pineda Internal Medicine 210 Portland Street Suite 104, Columbia, MO 65203 2017-07-28
1922530096 The Missing L Inc Community/Behavioral Health 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 2017-03-29
1689118010 Linda Landry Nurse Practitioner 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 2016-12-04
1417313552 Brittany Lea Ramirez Chiropractor 2001 Corona Rd Ste 205, Columbia, MO 65203 2016-01-05
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447868005 Brittany Mechelle Waterworth Family Medicine 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 2020-07-20
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1457977563 Jenny Tatiana Gonzalez Guzman Family Medicine Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-24
1942825500 Jarvis Jamal Johnson Family Medicine Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-10
1386268183 Nicolas Anthony Limogiannis Family Medicine Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-08
1730724220 Luci Lee Redman Cassella Family Medicine 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 2019-11-08
1275177420 Palmetto Primary Care Physicians Family Medicine 1415 Blanding St Ste 2, Columbia, SC 29201-2922 2019-10-31
1558919852 Synergos Medical, LLC Family Medicine 1703 Oak Cliff Pl, Columbia, MO 65203-4719 2019-08-29
1972156982 Maury Regional Medical Group, Inc Family Medicine 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 2019-07-18
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Competitor

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City COLUMBIA
Zip Code 65203

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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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