Active NPI
Craig M Smith, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Aransas Pass, TX
National Provider Identifier
1750337960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA00096
- Practice address
- 1731 W Wheeler Ave
Aransas Pass, TX 78336-4536 - Phone
- (361) 758-2799
- Fax
- (361) 758-2707
- NPI assigned
- May 26, 2006
- Last updated
- Jan 6, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00096 | TX | Primary |
Addresses
Primary practice location
1731 W Wheeler Ave
Aransas Pass, TX 78336-4536
Mailing address
1731 W Wheeler Ave
Aransas Pass, TX 78336-4536
Phone (361) 758-2799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133365008 | Medicaid | TX |
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1750337960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 W WHEELER AVE",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783364536",
"telephone_number": "361-758-2799",
"fax_number": "361-758-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 W WHEELER AVE",
"city": "ARANSAS PASS",
"state": "TX",
"postal_code": "783364536",
"telephone_number": "361-758-2799",
"fax_number": "361-758-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CRAIG",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA00096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133365008",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aransas Pass, TX
- Brandy D Rios, PHARMD
- Faviola Rios
- Jessie Nicole Robinson, FNP
- Rachel Robinson, PHAM D
- Scooters and More
- Heather Lee Smith, PSYD
- Raleigharnoldiii Smith, M.D.
- South Central Texas Bone and Joint Center, PA
- South Padre Island Pediatric Clinic PA (South Padre Island Pediatric CNTR-Aransas Pass)
- Brandi Spears, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.