Individual provider Active NPI

Steven Carlos Crayton, MD

  • Internal Medicine Physician
  • Marshall, TX
National Provider Identifier
1083693097
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F3871 Issued in TX
Practice address
304 University Ave Suite 108
Marshall, TX 75670
Phone
(903) 938-5300
Fax
(903) 938-5302
NPI assigned
Jan 10, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F3871 TX Primary

Addresses

Primary practice location

304 University Ave Suite 108
Marshall, TX 75670

Mailing address

PO Box 1898
Marshall, TX 75671
Phone (903) 938-5300

Other identifiers 1

IdentifierTypeStateIssuer
135017503MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20050419000427 TX Practitioner - Internal Medicine 2365480639 Practice locations: Marshall, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F3871TXMDInternal Medicine Physician
J9120TXMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1083693097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75671",
            "telephone_number": "903-938-5300",
            "fax_number": "903-938-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 UNIVERSITY AVE SUITE 108",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "75670",
            "telephone_number": "903-938-5300",
            "fax_number": "903-938-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYTON",
        "first_name": "STEVEN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F3871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135017503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.