Crystal Jasch, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA09566 Issued in TX

Practice address

450 W Medical Center Blvd Ste 600a
Webster, TX 77598-4233

Phone

(281) 332-4596

Fax

(281) 332-9610

NPI assigned

Oct 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Cockrell Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: crystal.jasch@hca9.eclinicaldirectplus.com

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1255735296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD STE 600A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984233",
            "telephone_number": "281-332-4596",
            "fax_number": "281-332-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD STE 600A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984233",
            "telephone_number": "281-332-4596",
            "fax_number": "281-332-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASCH",
        "first_name": "CRYSTAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CRYSTAL.JASCH@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "450 W Medical Center Blvd Ste 600A",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775984233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "COCKRELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Surgical Physician Assistant in Webster, TX
• Providers in Webster, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.