Active NPI
Craig A. Goolsby, MD
- Emergency Medicine Physician
- San Antonio, TX
National Provider Identifier
1518015536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- N0800
- Practice address
- 8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900 - Phone
- (210) 614-0180
- Fax
- (210) 615-7170
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | N0800 | TX | Primary |
Addresses
Primary practice location
8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900
Mailing address
8401 Datapoint Dr
Suite 500
San Antonio, TX 78229-5900
Phone (210) 614-0180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX | |
| 8BZ138 | Other | TX | BCBSTX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0800 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- cgoolsby49764@direct.hopkinsmedicine.org
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1164645297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1518015536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 DATAPOINT DR",
"address_2": "SUITE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295900",
"telephone_number": "210-614-0180",
"fax_number": "210-615-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 DATAPOINT DR",
"address_2": "SUITE 500",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295900",
"telephone_number": "210-614-0180",
"fax_number": "210-615-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOLSBY",
"first_name": "CRAIG",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "N0800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8BZ138",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.