RICHARD G CRADDOCK (NPI# 1003805854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003805854 |
| Entity Type | Individual |
| Full Name | RICHARD G CRADDOCK |
| Credential | MD |
| Practice Address |
1201 Se Indian St Stuart FL 34997-5688 |
| Practice Telephone | 7724034500 |
| Mailing Telephone | 7724034500 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2011-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME10913 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS | 05246 | 01 |
| FL | 269346100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536875 | Richard Andrew Craddock | Massage Therapist | 2745 Wild Pines Ln Apt 523, Naples, FL 34112-4753 | 2020-10-23 |
| 1467768804 | Richard W Craddock | Physician Assistant | 500 Poplar St, South Charleston, WV 25309-1474 | 2010-08-24 |
| Street Address |
1201 SE INDIAN ST |
| City | STUART |
| State | FL |
| Zip Code | 34997-5688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194715367 | Bernice Marie Burkarth | General Practice | 1201 Se Indian St, Stuart, FL 34997-5688 | 2005-10-27 |
| 1629678198 | Kelley Marie Thompson | Social Worker | 1201 Se Indian St, Stuart, FL 34997-5688 | 2020-10-26 |
| 1205245701 | Lori Posdal | Social Worker | 1201 Se Indian St, Stuart, FL 34997-5688 | 2014-08-08 |
| 1386936458 | Gabrielle Marie Balatovis Mcnally | Marriage & Family Therapist | 1201 Se Indian St, Stuart, FL 34997-5688 | 2011-05-09 |
| 1164656492 | Stephanie Dill | Social Worker | 1201 Se Indian St, Stuart, FL 34997-5688 | 2009-05-14 |
| 1063658086 | Treasure Coast Palliative Care, LLC | Specialist | 1201 Se Indian St, Stuart, FL 34997-5688 | 2008-12-22 |
| 1699886184 | Hospice of Martin & St Lucie Inc | Hospice Care, Community Based | 1201 Se Indian St, Stuart, FL 34997-5688 | 2006-08-31 |
| 1841204971 | Randolph B Peddicord | Family Medicine | 1201 Se Indian St, Stuart, FL 34997-5688 | 2006-07-27 |
| 1659330371 | Anson J Buttles | Internal Medicine | 1201 Se Indian St, Stuart, FL 34997-5688 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114461977 | Mehan Medical Consulting LLC | Internal Medicine | 509 Se Riverside Dr Ste 300, Stuart, FL 34994-2579 | 2016-12-14 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1750756276 | Doctors House Calls of Florida, LLC | Internal Medicine | 1239 Se Indian St Ste 102, Stuart, FL 34997-5633 | 2015-12-09 |
| 1144631979 | Lindsey Patterson | Internal Medicine | 2150 Se Salerno Rd Ste 200, Stuart, FL 34997-6572 | 2014-05-14 |
| 1942437090 | Valerie Anne Barrett | Internal Medicine | 2410 N Federal Hwy, Stuart, FL 34994 | 2009-06-16 |
| 1861665044 | Robert O. Baratta | Internal Medicine | 2400 Se Monterey Road, Suite 300, Stuart, FL 34996 | 2008-04-08 |
| 1649456443 | Physician On Call LLC | Internal Medicine | 850 Nw Federal Hwy, Suite 151, Stuart, FL 34994-1000 | 2008-01-11 |
| 1598951949 | Carl C Gittens Md Pa | Internal Medicine | 789 Sw Federal Hwy Ste 212, Stuart, FL 34994-2962 | 2007-09-19 |
| 1881894871 | Gloria Garcia | Internal Medicine | 2021 Se Riverside Dr, Stuart, FL 34996-1209 | 2007-07-19 |
| 1679780563 | Benjamin John Ngo | Internal Medicine | 509 Se Riverside Dr Ste 301, Stuart, FL 34994 | 2007-05-17 |
| Find all providers in STUART | ||||
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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.