RICHARD W CRADDOCK PA-C
NPI 1467768804
Physician Assistant in South Charleston, WV

Active since August 24, 2010
500 POPLAR ST, SOUTH CHARLESTON, WV 25309(304) 342-3891(304) 342-5307 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard W Craddock Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD W CRADDOCK PA-C (NPI 1467768804) is an individual physician assistant in South Charleston, West Virginia, licensed in West Virginia (00292) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1467768804
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRICHARD W CRADDOCKCredential: PA-C
Location Address500 POPLAR STSouth Charleston, WV 25309-1474
Mailing Address500 Poplar StSouth Charleston, WV 25309-1474 · (304) 342-3891 · Fax (304) 342-5307
Fax(304) 342-5307
Sole ProprietorNo
Enumeration DateAugust 24, 2010
Last NPPES UpdateNovember 1, 2012
NPI 1467768804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 00292
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
500 POPLAR ST, South Charleston, WV 25309

Other Identifiers 1

Medicare PINPA22542WV

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
500 POPLAR ST, SUITE 304
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
500 POPLAR ST, SUITE 202
SOUTH CHARLESTON, WV 25309
Orthopaedic Surgery
500 POPLAR ST, SUITE 303
CHARLESTON, WV 25309
Nurse Practitioner
500 POPLAR ST
SOUTH CHARLESTON, WV 25309
Surgery
500 POPLAR ST, SUITE 304
SOUTH CHARLESTON, WV 25309
Family Medicine
500 POPLAR ST, SUITE 204
CHARLESTON, WV 25309
Internal Medicine (Endocrinology, Diabetes & Metabolism)
500 POPLAR ST, SUITE 202
SOUTH CHARLESTON, WV 25309
Physician Assistant (Medical)
500 POPLAR ST, SUITE 303
CHARLESTON, WV 25309

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 Richard Craddock's NPI number?

The NPI number for Richard Craddock is 1467768804. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Richard Craddock located?

Richard Craddock practices at 500 Poplar St, South Charleston, WV 25309. The listed phone number is (304) 342-3891.

What is Richard Craddock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Richard Craddock was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.