Ryan Craddock, DO is a
Hospitalist physician based in Princeton, West Virginia. Ryan Craddock is licensed to practice in West Virginia (license number 3295) and his current practice location is 122 12th St, Princeton, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 487-7047.
NPI number for Ryan Craddock is 1649666488 and his current mailing address is 118 12th Street Ext, Princeton, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649666488.
Physician's Profile
| Full Name | Ryan Craddock |
|---|
| Gender | Male |
|---|
| Speciality | Hospitalist |
|---|
| Location | 122 12th St, Princeton, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649666488
- Provider Enumeration Date: 04/08/2015
- Last Update Date: 11/18/2019
Medical Identifiers
Medical identifiers for Ryan Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649666488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 3295 (West Virginia) | Secondary |
| 208M00000X | Hospitalist | 3295 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Craddock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ryan Craddock, DO 118 12th Street Ext, Princeton, WV 24740-2352 Ph: Not Available | Ryan Craddock, DO 122 12th St, Princeton, WV 24740 Ph: (304) 487-7047 |
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