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NPI Code Detail

MEDICARE: DR. MICHAEL C CRAIG M.D.

MEDICARE: DR. MICHAEL C CRAIG M.D.
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
1208100000XPhysical Medicine & Rehabilitation Physician34936TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13711620OTHERMEDICARE PTAN
3P00775574OTHERRAILROAD MEDICARE
53711675OTHERMEDICARE PTAN
6P00262743OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
24110763OTHERTNBLUE CROSS BLUE SHIELD
4TN01K6OTHERTNJOHN DEERE HEALTHCARE

General Provider Information

NPI Number : 1477522761
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL C CRAIG M.D.
Provider Business Mailing Address
First Line : 8320 E WALKER SPRINGS LN STE 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-3120
Country : US
Telephone Number : 865-769-4500
Fax Number : 865-769-4501
Provider Business Practice Location Address
First Line : 260 FORT SANDERS WEST BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3355
Country : US
Telephone Number : 865-558-4400
Fax Number : 865-769-4536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 06/23/2026

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Directions to “ DR. MICHAEL C CRAIG M.D.” Practice Location

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