Individual
JOHN M CRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 N PICKAWAY ST, CIRCLEVILLE, OH 43113-2409
(614) 552-0061
(614) 552-0168
Mailing address
12941 STONECREEK DR, UNIT A, PICKERINGTON, OH 43147-8424
(614) 552-0061
(614) 552-0168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-048980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221301
UNISON
OH
01
—
000000521137
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2219094
—
OH
01
—
414957
WELLCARE MEDICAID
OH
01
—
734659
BUCKEYE MEDICAID
OH
01
—
7800759
AETNA
OH
01
—
P00908723
MEDICARE RAILROAD
OH
Enumeration date
02/02/2006
Last updated
11/21/2013
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