Marina Aldaco Crayton, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04927 Issued in TX

Practice address

6157 NW Loop 410
Ste. 124
San Antonio, TX 78238-3302

Phone

(210) 523-1411

Fax

(210) 523-9307

NPI assigned

Aug 12, 2006

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 identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marina.crayton@wellmed.eclinicaldirectplus.com

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.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1487666475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6157 NW LOOP 410",
            "address_2": "STE. 124",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383302",
            "telephone_number": "210-523-1411",
            "fax_number": "210-523-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6157 NW LOOP 410",
            "address_2": "STE. 124",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383302",
            "telephone_number": "210-523-1411",
            "fax_number": "210-523-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYTON",
        "first_name": "MARINA",
        "middle_name": "ALDACO",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP PA",
            "identifier": "TXB160384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "312327501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Calvin Crawford, DC
• Melissa Ann Crawley, MD
• Peter G Crawley, M.D.
• Christine Crayton, PT, DPT, CPST
• Kristoff Chandler Crayton, PHARMD
• Kaitlin Creamer, CCC-SLP
• Creative Care Pediatric Health & Wellness PLLC
• Creative Health Care Management, LLC (Vertis Therapy)
• Creative Life Wellness
• Christopher Lee Creaturo, MA, LPC

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.