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Deactivated NPI 1003805854 Deactivated / Inactive NPI Male Practitioner

Dr. Richard G Craddock , MD

Internal Medicine • Stuart, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Craddock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 14, 2005
NPI Deactivation Date April 06, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Craddock, MD was a registered Internal Medicine practicing in Stuart, FL. Throughout an active medical career spanning 15 years, Dr. Craddock provided care at the practice location at 1201 SE INDIAN ST until profile deactivation on 2020-04-06.

Practice Location & Contact Primary Location

Practice Address

1201 Se Indian St

Stuart, FL 349975688

Telephone 7724034500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Stuart, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
102 Specialists

Practicing in Stuart, FL (10650 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME10913

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Rosemany Rene

Nurse Practitioner - Family

NPI 1316546252
Dr. Anson Buttles , MD

Internal Medicine

NPI 1659330371

Doctor of Medicine (M.D.)

NPI 1841204971

Doctor of Osteopathic Medicine (D.O.)

Dr. Rose Guilbe , MD

Family Medicine - Hospice and Palliative Medicine

NPI 1912077108

Doctor of Medicine (M.D.)

Ann Dietrich , APRN

Nurse Practitioner - Family

NPI 1922156470

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 06, 2020

Record deactivated on April 06, 2020

NPI Profile Active February 15, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 15, 2011

Registered at 1201 SE INDIAN ST, STUART, FL 349975688 (Tel: 7724034500)

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Updated Business Mailing Address February 15, 2011

Registered at 1201 SE INDIAN ST, STUART, FL 349975688 (Tel: 7724034500)

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Provider Name / Credentials Updated February 15, 2011

Recorded as RICHARD CRADDOCK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2011

Internal Medicine (License #ME10913 in FL)

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Initial NPI Registration & Enumeration October 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003805854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2005
Last Update: February 15, 2011
Deactivation Date: April 06, 2020

Mailing Address

1201 Se Indian St

Stuart, FL 349975688

Phone: 7724034500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.