Craig Vincent Paige, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05714 Issued in TX

Practice address

4301 Mow-Way Road
Reynolds Army Community Hospital (Attn: Ms. Prescott)
Ft. Sill, OK 73503-6300

Phone

(580) 458-2134

Fax

(580) 458-2314

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1346344041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MOW-WAY ROAD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MS. PRESCOTT)",
            "city": "FT. SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MOW-WAY ROAD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MS. PRESCOTT)",
            "city": "FT. SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "CRAIG",
        "middle_name": "VINCENT",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281782701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Fernando Osborne
• Cynthia Marie Osuna, M.A.
• Stephen William Owen, D.D.S.
• Sophia Olaitan Oyetunbi, ASAP COUNSELOR
• Eugene Paek, DMD
• Shalom D Palacio-Hollmon, PSY.D.
• Alan Palmer, DDS
• Barbara Jean Palombi, 103T00000X
• Patrick Byron Parish, DDS
• Mitchell Parker, FNP

• Physician Assistant in Ft. Sill, OK
• Providers in Ft. Sill, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.