Carl D'Agostino M.D., LTD.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

J7460 Issued in TX

Legal business name

CARL D'AGOSTINO M.D., LTD.

Practice address

2407 W Louisiana Ave
Suite 101
Midland, TX 79701-5807

Phone

(432) 620-8888

Fax

(432) 620-8187

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Carl D'Agostino, M.D.NPI 1265571509

Title

Partner

Phone

(432) 620-8888

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carl Joseph D'Agostino, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Midland, TX
  • NPI 1265571509
  Medicare reassignment NPD Authorized official
• Clara Carter, APRN-FNP

  • Family Nurse Practitioner
  • San Angelo, TX
  • NPI 1922823020
  NPD (past)
• Mark S Edwards, MD

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1760430284
  NPD (past)
• Lacye Dawn Escamilla, PA-C

  • Physician Assistant
  • San Angelo, TX
  • NPI 1578908075
  NPD (past)
• Christopher Padilla, PA-C

  • Physician Assistant
  • San Angelo, TX
  • NPI 1043780539
  NPD (past)
• Morgan Blake Wake, PA-C

  • Physician Assistant
  • San Angelo, TX
  • NPI 1992315899
  NPD (past)
• Casey Westmoreland, PA-C

  • Physician Assistant
  • San Angelo, TX
  • NPI 1316509110
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467591719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 W LOUISIANA AVE",
            "address_2": "SUITE 101",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015807",
            "telephone_number": "432-620-8888",
            "fax_number": "432-620-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 W LOUISIANA AVE",
            "address_2": "SUITE 101",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015807",
            "telephone_number": "432-620-8888",
            "fax_number": "432-620-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL D'AGOSTINO M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "D'AGOSTINO",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "432-620-8888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J7460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5541135",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0050EA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Cardoza, PTA
• Chris Cardoza, RN
• Jesus Cardozo
• Care Mobile LLC
• Caregivers PB, Inc
• James Terry Carpenter, DDS
• James W Carpenter Jr., O.D.
• Karen M Carr, D.O.
• Rhonda Kiker Carr, RD, LD, CDE
• Jessica Rae Carrasco, PT, DPT

• Pain Medicine (Anesthesiology) Physician in Midland, TX
• Providers in Midland, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.