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1578566766

NPI Code Detail

MEDICARE: CRAIG CLAYTON CARTIA MD

MEDICARE: CRAIG CLAYTON CARTIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LA0401X	Addiction Medicine (Anesthesiology) Physician	32838	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	510I090003	OTHER	AL	MEDICARE AL
11	P00397344	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	51610	OTHER	FL	BCBS FLORIDA
3	51541862	OTHER	AL	BCBS ALABAMA - BREW
4	59190259	OTHER	AL	BCBS ALABAMA
5	59190701	OTHER	AL	BCBS ALABAMA - GBO
6	59193342	OTHER	AL	BCBS ALABAMA - PACE
7	B002	OTHER	FL	HEALTH FIRST
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	59193345	OTHER	AL	BCBS ALABAMA - PMR
10	1380902	OTHER	FL	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1578566766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG CLAYTON CARTIA MD

Provider Business Mailing Address
First Line	:	PO BOX 73652
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0002
Country	:	US
Telephone Number	:	859-313-2758
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 BELINDA BLVD
Second Line	:
City	:	DANVILLE
State	:	KY
Zip	:	40422-3217
Country	:	US
Telephone Number	:	859-439-0340
Fax Number	:	859-209-4278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/08/2019

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Directions to “ CRAIG CLAYTON CARTIA MD” Practice Location

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