Individual provider Active NPI

Crystal Williams Nock, MD

  • Emergency Medicine Physician
  • Beaumont, TX
National Provider Identifier
1487811527
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U6541 Issued in TX
Practice address
3080 College St
Beaumont, TX 77701-4606
Phone
(409) 212-5000
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.148682 OH
Emergency Medicine Physician 207P00000X U6541 TX Primary

Addresses

Primary practice location

3080 College St
Beaumont, TX 77701-4606

Mailing address

9301 S Western Ave
Oklahoma City, OK 73139-2728
Phone (866) 321-8433

Other practice location 1

730 W Market St
Lima, OH 45801-4602
Phone (419) 226-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230824003778 OH Practitioner - Emergency Medicine 1850451030 Reassigns benefits to 4 organizations
I20240509001058 TX Practitioner - Emergency Medicine 1850451030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Emergency Medicine Associates PLLCGroup PAC ID 1951402767, 9 clinicians

Practice addresses (Care Compare)

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Sep 18, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince May 4, 2024 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Sep 18, 2023 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Sep 18, 2023 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Sep 18, 2023 Accepting new patients

Locations

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

9645 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 256-1456

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

22475 Tomball Pkwy
Houston, TX 77070
Phone (281) 320-5800

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1487811527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392728",
            "telephone_number": "866-321-8433",
            "fax_number": "405-321-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014606",
            "telephone_number": "409-212-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 W Market St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-226-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOCK",
        "first_name": "CRYSTAL",
        "middle_name": "WILLIAMS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.148682",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U6541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.