Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Kenji Craig, MD

Individual provider Surgery Physician · NPI 1114414513

Ethan Kenji Craig, MD is a General Surgery in Williamsville, New York. Qualified in 2010, 16 years ago. Practices with University at Buffalo Surgeons Inc, a 40-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
16
Licensed in
FL, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 N Maplemere Rd Ste 100
Williamsville, NY 14221-3182
Phone: (716) 833-7112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 327603 (NY)
Surgery Physician Taxonomy 208600000X · Licence ME162962 (FL)

Record details

NPI number1114414513
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2018
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address111 N Maplemere Rd Ste 100, Williamsville, NY 14221-3182

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University At Buffalo Surgeons Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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