MARQUELL MARCUS CRADDOCK MD
NPI 1447887344
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Marquell Marcus Craddock Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARQUELL MARCUS CRADDOCK MD (NPI 1447887344) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marquell Marcus Craddock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marquell Craddock's NPI number?
The NPI number for Marquell Craddock is 1447887344. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Marquell Craddock located?
Marquell Craddock practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (503) 813-2000.
What is Marquell Craddock's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Marquell Craddock enrolled in Medicare?
Yes. Marquell Craddock is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Marquell Craddock was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marquell Marcus Craddock, MD · NPI 1447887344
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1447887344 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027-6021
- **Phone:** (503) 813-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1447887344) · Data from the CMS NPPES public registry.