Ryan D Craddock (NPI# 1649666488, PAC ID# 3173869260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1649666488 |
| PAC ID by PECOS | 3173869260 |
| Professional Enrollment ID | I20190110001225 |
| Full Name | Ryan D Craddock |
| Organization Legal Name | PRINCETON COMMUNITY HOSPITAL ASSN., INC. |
| Address |
122 12th St Princeton WV 24740-2312 |
| Phone Number | 3044877936 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678482221 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510046 | PRINCETON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 122 12th St, Princeton, WV 24740-2312 | 3044877936 | PRINCETON COMMUNITY HOSPITAL ASSN., INC. |
| Organization Legal Name | PRINCETON COMMUNITY HOSPITAL ASSN., INC. |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth John Baker | Obstetrics/gynecology | Princeton Community Hospital Assn., Inc. | 114 Undercliff Ter, Princeton, WV 24740-2174 |
| Nathan Alexander Rowe | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 1333 Southview Dr, Bluefield, WV 24701-4317 |
| April A Christ | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 118 12th St, Princeton, WV 24740-2312 |
| Yoginder K Yadav | Hospitalist | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Timothy Prescott | Physician Assistant | Princeton Community Hospital Assn., Inc. | 401 E Vermillion St, Athens, WV 24712-8005 |
| Nancy A Lohuis | Family Medicine | Princeton Community Hospital Assn., Inc. | 118 12th St, Princeton, WV 24740-2312 |
| Melissa A Shrewsbury | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Razelle Reyes | Hospitalist | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Mark C Lentner | Otolaryngology | Princeton Community Hospital Assn., Inc. | 401 E Vermillion St, Athens, WV 24712-8005 |
| Gordon F Prescott | Internal Medicine | Princeton Community Hospital Assn., Inc. | 401 E Vermillion St, Athens, WV 24712-8005 |
| Street Address |
122 12TH ST |
| City | PRINCETON |
| State | WV |
| Zip | 24740-2312 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yoginder K Yadav | Hospitalist | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Melissa A Shrewsbury | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Razelle Reyes | Hospitalist | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Jason Andrew Bennett | Pathology | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Shawn L. Vest | Nurse Practitioner | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Corey White | Internal Medicine | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Christopher Daniel | Hospitalist | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Jeffrey D Murillo | Hospitalist | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Cassidy L Smith | Internal Medicine | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Mark A Weitzel | Otolaryngology | Princeton Community Hospital Assn., Inc. | 122 12th St, Princeton, WV 24740-2312 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
| Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
| Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
| Find all physicians in zip 24740 | |||
| City | PRINCETON |
| Zip Code | 24740 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PRINCETON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ryan D Craddock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.