Organization Active NPI

Craig L. McDonald Mdpa

  • Orthopaedic Surgery Physician
  • Angleton, TX
National Provider Identifier
1699986604
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H4839 Issued in TX
Legal business name
CRAIG L. MCDONALD MDPA
Practice address
2327 E Mulberry
Suite C
Angleton, TX 77515-3836
Phone
(979) 849-9557
Fax
(979) 849-0789
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Mrs. Carol Garner
Title
Practice Manager
Phone
(979) 849-9557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X H4839 TX Primary

Addresses

Primary practice location

2327 E Mulberry
Suite C
Angleton, TX 77515-3836

Mailing address

2327 E Mulberry
Suite C
Angleton, TX 77515-3836
Phone (979) 849-9557

Other identifiers 2

IdentifierTypeStateIssuer
165338802MedicaidTX
H4839OtherTXSTATE PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1699986604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 E MULBERRY",
            "address_2": "SUITE C",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153836",
            "telephone_number": "979-849-9557",
            "fax_number": "979-849-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 E MULBERRY",
            "address_2": "SUITE C",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153836",
            "telephone_number": "979-849-9557",
            "fax_number": "979-849-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG L. MCDONALD MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "979-849-9557",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H4839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165338802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER NUMBER",
            "identifier": "H4839",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.