John A. Craddock
Pediatrician Pediatric Hematology-Oncologist
13123 East 16th Avenue ; B115
Aurora
, Colorado 80045
John A. Craddock
Pediatrician Pediatric Hematology-Oncologist
13123 East 16th Avenue ; B115
Aurora
, Colorado 80045
(303) 493-7202
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- John A. Craddock
- Po Box 110429
- Aurora, CO
- Zip : 80042-0429
- Fax : (303) 493-7202
- Phone : (303) 493-7000
Second Address
- John A. Craddock
- 13123 East 16th Avenue ; B115
- Aurora, CO
- Zip : 80045
- Fax : (720) 777-7289
- Phone : (720) 777-6892
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | N0711 | TX |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | N0711 | TX |
National Provider Identifier
| NPI | 1073763140 |
|---|---|
| Provider Name | John A. Craddock |
| First Address | Aurora, CO 80042-0429 |
| Second Address | Aurora, CO 80045 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2008 |
| Last Update Date | 12/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 82387273 | (05) | CO |
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.