THOMAS V. CRADOCK MD – NPI #1366521551
Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

THOMAS CRADOCK is a surgeon located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1366521551 to THOMAS CRADOCK on November 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0120X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Pediatric Surgery

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THOMAS CRADOCK below.

NPI Profile for
THOMAS V. CRADOCK

NPI Number
1366521551
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THOMAS V. CRADOCK
Credentials
MD
Primary location
621 S NEW BALLAS RD
SUITE 6018B
SAINT LOUIS, MO 63141-8232
Phone: (314) 251-5940 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0120X
- Surgery / Pediatric Surgery (Primary)
MO 32102

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.