Active NPI
Craig L. McDonald Mdpa
- Orthopaedic Surgery Physician
- Angleton, TX
National Provider Identifier
1699986604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- H4839
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165338802 | Medicaid | TX | |
| H4839 | Other | TX | STATE PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.