Active NPI
Todd Michael Crawford, PHYSICIAN ASST - C
- Physician Assistant
- Gonzales, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01998TX
- Practice address
- 1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311 - Phone
- (830) 672-8502
- NPI assigned
- Apr 30, 2008
- Last updated
- Jun 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01998TX | TX | Primary |
| Specialist | 174400000X | TX |
Addresses
Primary practice location
1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Mailing address
PO Box 587
Gonzales, TX 78629-0587
Phone (830) 672-8502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA0198TX | Other | TX | STATE (TEXAS ) LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhgtcrawford@gonzhealthsys.cernerdirect.com | Health Information Exchange (HIE) |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone (830) 672-7581
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01998TX | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gonzales Healthcare Systems | Current | Accepting new patients | |
| Gonzales Healthcare Systems | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mhgtcrawford@gonzhealthsys.cernerdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sievers Medical Clinic
- Rural Health Clinic/Center
- Gonzales, TX
- NPI 1013916287
-
dba Gonzales Professional Partners
- Diagnostic Radiology Physician
- Gonzales, TX
- NPI 1922856699
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- Rural Acute Care Hospital
- Gonzales, TX
- NPI 1932108214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1154596179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 587",
"city": "GONZALES",
"state": "TX",
"postal_code": "786290587",
"telephone_number": "830-672-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N SARAH DEWITT DR",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293311",
"telephone_number": "830-672-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "TODD",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASST - C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01998TX",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE (TEXAS ) LICENSE",
"identifier": "PA0198TX",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhgtcrawford@gonzhealthsys.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Secure Patient Exchange",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "1110 N Sarah DeWitt Dr",
"city": "Gonzales",
"state": "TX",
"country_code": "US",
"postal_code": "786293311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gonzales, TX
- Community Health Centers of South Central Texas, Inc. (Women's Health and WIC Center)
- Christina M Cordova, LVN
- Country Clinic PLLC
- Craig Cardiovascular Center, PA
- William E Craig, MD
- Guadalupe Delarosa, LVN
- Educare Community Living Limited Partnership
- Jill Ashley Elliott, PA-C
- Kelli Marie Enriquez, LVN
- Terry Fuller Eska, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.