Phillip Parker Crace, MD FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD206664 Issued in LA

Practice address

204 Serio Blvd
Ferriday, LA 71334

Phone

(318) 757-8010

Fax

(318) 757-9501

NPI assigned

Mar 31, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/rivland-2fdcd4b4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Plains Physician Associates

  • Diagnostic Radiology Physician
  • Varnville, SC
  • NPI 1316992506

  Surgery

  Medicare reassignment NPD
• Hampton Regional Medical Center

  • Rural Acute Care Hospital
  • Varnville, SC
  • NPI 1487651949
  Medicare reassignment NPD
• American Surgical Specialists, PLLC

  • Surgery Physician
  • Prestonsburg, KY
  • NPI 1316254261
  NPD (past) Authorized official
• Eastern Kentucky Comprehensive Care, PLLC

  • Rural Health Clinic/Center
  • Hindman, KY
  • NPI 1275869083
  NPD (past) Authorized official
• Hampton Regional Medical Center

  • Rural Health Clinic/Center
  • Varnville, SC
  • NPI 1780744946
  NPD
• Kentucky Laparoscopic & Advanced Surgical Specialists, PLLC

  • Surgery Physician
  • Prestonsburg, KY
  • NPI 1194929943
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1003088972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "71334",
            "telephone_number": "318-757-8010",
            "fax_number": "318-757-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "71334",
            "telephone_number": "318-757-8010",
            "fax_number": "318-757-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRACE",
        "first_name": "PHILLIP",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "41691",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD206664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concordia Parish Hospital Service District Number One
• Concordia Parish Hospital Service District Number One
• Kiesha Marie Conner, CIT, MSW, CSW
• Leah N'Shay Cook
• Ruby Sharee Cooks, FNP
• Ashley Craft
• Rosie Ann Cummings
• Samantha Davis
• Delta Charter School MST
• Sarah Duncan, APRN-CNP

• Surgery Physician in Ferriday, LA
• Providers in Ferriday, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.