Active NPI
Antonio Carmona Jr., CSTFA
- Surgical Assistant
- Amarillo, TX
National Provider Identifier
1851033906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 190498
- Practice address
- 3114 Orange St
Amarillo, TX 79107-1810 - Phone
- (806) 206-6161
- NPI assigned
- Apr 10, 2022
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 190498 | TX | Primary |
Addresses
Primary practice location
3114 Orange St
Amarillo, TX 79107-1810
Mailing address
3114 Orange St
Amarillo, TX 79107-1810
Phone (806) 206-6161
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190498 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1851033906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 ORANGE ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791071810",
"telephone_number": "806-206-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3114 ORANGE ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791071810",
"telephone_number": "806-206-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA",
"first_name": "ANTONIO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CSTFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-10",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "190498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.