Craig Steven Pedersen, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

Q3420 Issued in TX

Practice address

3551 Roger Brooke Dr
San Antonio, TX 78234-4504

Phone

(210) 916-4141

NPI assigned

Apr 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulf Coast Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Alice, TX
  • NPI 1972286920
  Medicare reassignment Care Compare group NPD
• Conner Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1013415934
  Medicare reassignment NPD
• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment NPD
• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  Care Compare affiliation

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1407299779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26702 SUNSTREAM WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782602594",
            "telephone_number": "817-505-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "CRAIG",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q3420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lea Peck, MS LPC
• Steven James Peckham, MD
• Kim Peden
• Robert McNeely Peden, LPC
• Annette Johanna Pedersen, LPC
• Jacqueline Pedersen, RDN, LD
• Karin Whitney Pedersen, AU.D.
• David N Pederson, MD
• Nereyda G Pederson, LPC
• Pedi Place at Westover Hills

• Emergency Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.

Verify at the official NPI Registry.