Provider Demographics
NPI:1578566766
Name:CARTIA, CRAIG CLAYTON (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:CLAYTON
Last Name:CARTIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CRAIG
Other - Middle Name:C
Other - Last Name:CARTIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 73652
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0002
Mailing Address - Country:US
Mailing Address - Phone:859-313-2758
Mailing Address - Fax:
Practice Address - Street 1:106 BELINDA BLVD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-3217
Practice Address - Country:US
Practice Address - Phone:859-439-0340
Practice Address - Fax:859-209-4278
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32838207LA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510I090003OtherMEDICARE AL
FL51610OtherBCBS FLORIDA
AL51541862OtherBCBS ALABAMA - BREW
AL59190259OtherBCBS ALABAMA
AL59190701OtherBCBS ALABAMA - GBO
AL59193342OtherBCBS ALABAMA - PACE
FLB002OtherHEALTH FIRST
FL259910400Medicaid
AL59193345OtherBCBS ALABAMA - PMR
FL1380902OtherUNITED HEALTHCARE
FLP00397344OtherMEDICARE RAILROAD
AL59190701OtherBCBS ALABAMA - GBO
AL59193342OtherBCBS ALABAMA - PACE