CHARLES P CRAIG MD PC (NPI# 1790017416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790017416 |
| Entity Type | Organization |
| Organization Name | CHARLES P CRAIG MD PC |
| Practice Address |
4870 W Clark Rd Suite 204 Ypsilanti MI 48197-1104 |
| Practice Telephone | 7345289111 |
| Practice Fax Number | 7345289082 |
| Mailing Telephone | 7345289111 |
| Mailing Fax Number | 7345289082 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |
| Authorized Official Name | DR. CHARLES POE CRAIG (OWNER) |
| Authorized Official Telephone | 7345289111 |
| Authorized Official Credential | MEDICAL DOCTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
CC052386 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4414481 | 05 |
| Street Address |
4870 W CLARK RD SUITE 204 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205541 | Emily W Bandera | Allergy & Immunology | 4870 W Clark Rd, # 202, Ypsilanti, MI 48197-1104 | 2006-02-21 |
| 1538517032 | Jennifer Aldea | Physician Assistant | 4870 W Clark Rd, Suite #201, Ypsilanti, MI 48197-1104 | 2016-05-25 |
| 1821497116 | Jordan Else | Nurse Practitioner | 4870 W Clark Rd, Ste 201, Ypsilanti, MI 48197-1104 | 2014-08-22 |
| 1255647350 | Michigan Hospice,inc. | Hospice Care, Community Based | 4870 W Clark Rd, Suite 100b, Ypsilanti, MI 48197-1104 | 2010-08-26 |
| 1740509116 | Physician Group | General Practice | 4870 W Clark Rd, Ste 100a, Ypsilanti, MI 48197-1104 | 2010-05-25 |
| 1053639146 | Midwest Travelers Health Service | Internal Medicine | 4870 W Clark Rd, Suite 204, Ypsilanti, MI 48197-1104 | 2010-05-13 |
| 1013140573 | Jay Ambey LLC | Pharmacy | 4870 W Clark Rd, Suite#108, Ypsilanti, MI 48197-1104 | 2009-09-01 |
| 1053577536 | Advanced Asthma Allergy & Immunology Care PC | Allergy & Immunology | 4870 W Clark Rd, Suite 202, Ypsilanti, MI 48197-1104 | 2008-08-04 |
| 1861650137 | Charles Krasnow | Psychiatry & Neurology | 4870 W Clark Rd, Suite #101, Ypsilanti, MI 48197-1104 | 2008-05-23 |
| 1013180900 | Ben Gold, Md, PC | Allergy & Immunology | 4870 W Clark Rd, Suite 203, Ypsilanti, MI 48197-1104 | 2008-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1891189148 | Dima Youssef | Internal Medicine | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2015-03-25 |
| 1639423825 | Iha Health Services Corporation | Internal Medicine | 5333 Mcauley Dr, 6109, Ypsilanti, MI 48197-1014 | 2012-11-09 |
| 1598022519 | Anna Dobosz | Internal Medicine | 5333 Mcauley Dr Rm 6109, Ypsilanti, MI 48197-1005 | 2012-04-15 |
| 1053639146 | Midwest Travelers Health Service | Internal Medicine | 4870 W Clark Rd, Suite 204, Ypsilanti, MI 48197-1104 | 2010-05-13 |
| 1841486354 | Neelay Jitendra Kothari | Internal Medicine | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-1014 | 2007-09-18 |
| 1710029103 | Holly A. Murphy | Internal Medicine | 5333 Mcauley Dr, Suite 6109, Ypsilanti, MI 48197-1014 | 2007-02-13 |
| 1700823291 | Varsha Vivek Moudgal | Internal Medicine | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-0000 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255830121 | Infectious Disease Experts, Pllc | Internal Medicine | 5757 Springbrook Dr, Troy, MI 48098-5308 | 2018-02-06 |
| 1497205546 | Capitol Infectious Disease Associates | Internal Medicine | 6401 Pine Hollow Dr, East Lansing, MI 48823-9737 | 2016-10-12 |
| 1932517604 | Nkechi Mbanefo Azie | Internal Medicine | 1660 Pond Shore Dr, Ann Arbor, MI 48108-9565 | 2014-07-25 |
| 1780096032 | Quentin Doperalski | Internal Medicine | 560 W Mitchell St Ste 170, Petoskey, MI 49770-2276 | 2014-05-21 |
| 1215361373 | Kimberly A Zielke | Internal Medicine | 720 West Wackerly, Suite 111, Midland, MI 48640 | 2013-08-26 |
| 1235572462 | Erika Olson | Internal Medicine | Harper University Hospital, 3990 John R Street, 5 Hudson, Detroit, MI 48201 | 2013-04-08 |
| 1750648945 | Daniela Christina Pellegrini | Internal Medicine | 1700 Clinton St # At, Muskegon, MI 49442-5502 | 2012-04-12 |
| 1033442546 | Guided Care Community Services Corp. | Internal Medicine | 535 Griswold St, Suite 111-267, Detroit, MI 48226-3604 | 2009-09-15 |
| 1023246329 | Ashish Bhargava | Internal Medicine | 19251 Mack Ave Ste 333, Grosse Pointe Woods, MI 48236-2898 | 2009-06-24 |
| 1104099266 | Aneela Yaqoob | Internal Medicine | 3515 Parklawn Dr, Canton, MI 48188-2315 | 2008-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARLES P CRAIG MD PC.
| 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.