Kym Craig, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA04254 Issued in TX

Practice address

407 Kent St
Midland, TX 79701-5858

Phone

(432) 704-5661

Fax

(432) 704-5660

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Slater-Delk Medical, PLLCGroup PAC ID 3476875790, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Slater-Delk Medical, PLLC

  • Urgent Care Clinic/Center
  • Midland, TX
  • NPI 1386056943
  Medicare reassignment Care Compare group
• Midland Emergency Managers PLLC

  • Emergency Medicine Physician
  • Midland, TX
  • NPI 1720673122
  Medicare reassignment
• MCH Professional Care

  • Multi-Specialty Clinic/Center
  • Odessa, TX
  • NPI 1649391269
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1619924495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797020164",
            "telephone_number": "432-704-5661",
            "fax_number": "432-704-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 KENT ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015858",
            "telephone_number": "432-704-5661",
            "fax_number": "432-704-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "KYM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covenant Counseling
• Covenant Health System
• Jack Mark Cox, DDS
• Joseph Aaron Cox, NP
• Rachel Cozart, FNP-C
• Laura Ann Cralle, GNP
• Cranial Technologies, Inc.
• Cranio Mandibular Affiliates
• Stephanie Crawford, FNP-C
• Donald Edwin Crockett Jr., MD

• Medical Physician Assistant in Midland, TX
• Providers in Midland, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.