Individual
DR. WILLIAM B CRAFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 723-9000
(513) 723-0455
Mailing address
237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 45219
(513) 263-8571
(513) 366-4480
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35055281C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004576
ANTHEM
OH
05
—
0673623
—
OH
01
—
200002500A
INDIANA MEDICAID GROUP #
IN
01
—
200002530A
INDIANA MEDICAID INDIV #
IN
01
—
200005445
OHIO RR MEDICARE
OH
01
—
31074182200
OHIO WORKERS COMP GRP #
OH
01
—
64953052
KENTUCKY MEDICAID
KY
Enumeration date
11/28/2006
Last updated
08/21/2017
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