Organization Active NPI

Midcounty Family Physicians Associates, LLP

  • Family Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1982603999
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDCOUNTY FAMILY PHYSICIANS ASSOCIATES, LLP
Practice address
3820 Highway 365
Ste 100
Port Arthur, TX 77642-7543
Phone
(409) 722-3416
Fax
(409) 729-5656
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Susan K Craig, M.D.
Title
President
Phone
(409) 722-3416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X TX Primary

Addresses

Primary practice location

3820 Highway 365
Ste 100
Port Arthur, TX 77642-7543

Mailing address

3820 Highway 365
Ste 100
Port Arthur, TX 77642-7543
Phone (409) 722-3416

Other identifiers 1

IdentifierTypeStateIssuer
00235ROtherBCBS OF TX PROVIDER #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982603999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 HIGHWAY 365",
            "address_2": "STE 100",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427543",
            "telephone_number": "409-722-3416",
            "fax_number": "409-729-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 HIGHWAY 365",
            "address_2": "STE 100",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427543",
            "telephone_number": "409-722-3416",
            "fax_number": "409-729-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCOUNTY FAMILY PHYSICIANS ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-722-3416",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX PROVIDER #",
            "identifier": "00235R",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.