| James R Craig Jr, MD | |
|
4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 | |
| (801) 993-1800 | |
| (801) 993-1699 |
| Full Name | James R Craig Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 15 Years |
| Location | 4252 S Highland Dr Ste 200, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730474792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 8436473-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Lone Peak Hospital | Draper, UT | Hospital |
| Intermountain Medical Center | Murray, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Granger Medical Clinic Pc | 3476465691 | 172 |
| Entity Name | Granger Medical Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
| Entity Name | Granger Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Craig Jr, MD 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | James R Craig Jr, MD 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 Ph: (801) 993-1800 |
Dr. Stephen James Summers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891 | |
Benjamin James Mccormick, Urology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-213-2704 Fax: 801-585-2891 | |
Leah Stoehr, APRN Urology Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5555 | |
John Evan Thomas, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891 | |
Spencer Burton Tingey, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 30 N Mario Capecchi Drive, Salt Lake City, UT 84112 Phone: 801-581-7304 | |
Dr. Raymond Tyler Yong, MD Urology Medicare: Medicare Enrolled Practice Location: 30 North Mario Capecchi Drive Room 4s100, Salt Lake City, UT 84132 Phone: 414-955-0880 | |
Colton K. Leavitt, MD Urology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132 Phone: 801-213-2718 |