Active NPI
Donald Green Culbertson, P.A.
- Medical Physician Assistant
- Marfa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA02637
- Practice address
- 210 S Summer St,
Marfa, TX 79843-0267 - Phone
- (432) 729-1800
- Fax
- (432) 729-1806
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA02637 | TX | Primary |
Addresses
Primary practice location
210 S Summer St,
Marfa, TX 79843-0267
Mailing address
PO Box 267
Marfa, TX 79843-0267
Phone (432) 729-1800
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
- University of Washington School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
Suite 368
Marfa, TX 79843
PO Box
Suite 368
Marfa, TX 79843-0368
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preventative Care Health Services, Inc | Current | Accepting new patients | |
| Marfa Country Clinic, P.a. | Current | Accepting new patients | |
| Marfa Health & Wellness, Inc. | Past | Accepting new patients |
Locations
1605 N State Highway 118
Alpine, TX 79830
Phone 4328374555206
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Marfa Country Clinic, P.a. | Rural health clinic | 5% Or Greater Direct Ownership Interest (49%) Corporate Officer Operational/Managerial Control |
May 1, 2010 May 1, 2010 May 1, 2010 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Marfa, TX
- NPI 1831993088
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Marfa, TX
- NPI 1528380854
-
dba Presidio County Health Services, Inc.
- Federally Qualified Health Center (FQHC)
- Marfa, TX
- NPI 1013196625
-
- Rural Health Clinic/Center
- Marfa, TX
- NPI 1831993088
-
dba Family Health Services of Alpine
- Federally Qualified Health Center (FQHC)
- Alpine, TX
- NPI 1518347921
-
dba Marfa Community Health Clinic
- Family Medicine Physician
- Marfa, TX
- NPI 1407958705
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Big Bend Regional Medical Center
- Critical Access Hospital
- Alpine, TX
- NPI 1356312243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306949805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 267",
"city": "MARFA",
"state": "TX",
"postal_code": "798430267",
"telephone_number": "432-729-1800",
"fax_number": "432-729-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S SUMMER ST,",
"city": "MARFA",
"state": "TX",
"postal_code": "798430267",
"telephone_number": "432-729-1800",
"fax_number": "432-729-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBERTSON",
"first_name": "DONALD",
"middle_name": "GREEN",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marfa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.