Dr. Jason A Craft
Sports Medicine Orthopaedic Surgeon
1325 E Fortification St
Jackson
, Mississippi 39202-2442
Dr. Jason A Craft
Sports Medicine Orthopaedic Surgeon
1325 E Fortification St
Jackson
, Mississippi 39202-2442
(601) 914-1835
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jason A Craft
- 1325 E Fortification St
- Jackson, MS
- Zip : 39202-2442
- Fax : (601) 914-1835
- Phone : (601) 949-9106
Second Address
- Dr. Jason A Craft
- 1325 E Fortification St
- Jackson, MS
- Zip : 39202-2442
- Fax : (601) 960-4586
- Phone : (601) 354-4488
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 19184 | MS |
National Provider Identifier
| NPI | 1184753485 |
|---|---|
| Provider Name | Dr. Jason A Craft |
| First Address | Jackson, MS 39202-2442 |
| Second Address | Jackson, MS 39202-2442 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/03/2007 |
| Last Update Date | 11/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00624501 | (05) | MS |
| 1184753485 | NPI (01) | MS |
| 512G700003 | UP MEDICARE PTAN (01) | |
| 512I200016 | M'CARE PTAN (01) | MS |
| P00619788 | RAILROAD MEDICARE PTAN (01) | MS |
| P00621369 | RAILROAD MEDICARE PTAN-GROUP#CC1164 (01) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.