DR. BOYD A. MCCRACKEN (NPI# 1023000908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023000908 |
| Entity Type | Individual |
| Full Name | DR. BOYD A. MCCRACKEN |
| Credential | M.D. |
| Practice Address |
201 Health Care Dr Greenville IL 62246-1155 |
| Practice Telephone | 6186641380 |
| Practice Fax Number | 6186644239 |
| Mailing Telephone | 6186641380 |
| Mailing Fax Number | 6186644239 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2013-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036052523 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036052523 | 05 | |
| IL | RURAL HEALTH | 148519 | 01 |
| Street Address |
201 HEALTH CARE DR |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770936692 | Bavithira Abivarshia Devasenathipathy | Family Medicine | 201 Health Care Dr, Greenville, IL 62246 | 2016-07-15 |
| 1700291911 | Hannah Elizabeth Strong | Pediatrics | 201 Health Care Dr, Greenville, IL 62246-1155 | 2014-06-25 |
| 1255751129 | Susan Hohlt | Nurse Practitioner | 201 Health Care Dr, Greenville, IL 62246-1155 | 2014-04-18 |
| 1881030682 | Amanda E Ennen | Nurse Practitioner | 201 Health Care Dr, Greenville, IL 62246-1155 | 2013-05-20 |
| 1356648331 | Julie M Doll | Nurse Practitioner | 201 Health Care Dr, Greenville, IL 62246-1155 | 2011-02-28 |
| 1659366102 | Tracy L Hall | Family Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-09-12 |
| 1598759201 | John Kersey Dawdy | Family Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-09-08 |
| 1326032046 | Anne Elizabeth Borwick | Internal Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1457983280 | Emmyget Family Medicine, Pa | Family Medicine | 3405 White Horse Rd Ste E, Greenville, SC 29611-5947 | 2020-02-10 |
| 1275184848 | Rmcca Clinic B, LLC | Family Medicine | 45 Medical Arts Ct Ste 3, Greenville, AL 36037-3872 | 2019-09-25 |
| 1558918342 | Lv Stabler Primary Care LLC | Family Medicine | 45 Medical Arts Ct Ste 2, Greenville, AL 36037-3872 | 2019-08-26 |
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1336618222 | Ashley Rushin | Family Medicine | 4400 Interstate Highway 30 W, Greenville, TX 75402-4615 | 2018-11-20 |
| 1003209636 | Billy Don Mitchell | Family Medicine | 3080 Cr 3115, Billy Don Mitchell M.d., Greenville, TX 75402 | 2015-03-06 |
| 1437597259 | Frank V Cioppettini | Family Medicine | 31 Memorial Medical Dr, Greenville, SC 29605-4407 | 2013-06-14 |
| 1679816706 | St. Francis Physician Services Inc | Family Medicine | 75 E. Mcbee Avenue, Greenville, SC 29601-2737 | 2013-03-27 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
Please comment or provide details below to improve the information on DR. BOYD A. MCCRACKEN.
| 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.