MR. TODD MICHAEL CRAWFORD (NPI# 1154596179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154596179 |
| Entity Type | Individual |
| Full Name | MR. TODD MICHAEL CRAWFORD |
| Credential | PHYSICIAN ASST - C |
| Practice Address |
1110 N Sarah Dewitt Dr Gonzales TX 78629-3311 |
| Mailing Address |
Po Box 587 Gonzales TX 78629-0587 |
| Practice Telephone | 8306728502 |
| Mailing Telephone | 8306728502 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01998TX | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE (TEXAS ) LICENSE | PA0198TX | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972619922 | Todd A Crawford | Nurse Anesthetist, Certified Registered | 5202 Miller Road, Flint, Saginaw, MI 48507 | 2006-08-22 |
| 1528523222 | Todd Steven Crawford | Nurse Practitioner | 133 Forsyth St Ste 3, Barnesville, GA 30204-1458 | 2019-02-06 |
| 1902233604 | Todd Evan Crawford | Counselor | 619 N Main St, Muskogee, OK 74401-4431 | 2013-09-26 |
| 1528301603 | Todd Christopher Crawford | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2013-03-27 |
| 1730460866 | Todd Crawford | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski Rd, Chicago, IL 60646-6007 | 2011-09-02 |
| 1578874731 | Todd Owen Crawford | Counselor | 1300 Hoppe Blvd, Suite 6, Strong Family Development Outpatient Services-ada, Ada, OK 74820 | 2010-06-23 |
| 1164442059 | Todd S Crawford | Neurological Surgery | 801 E 6th St, Suite 304, Panama City, FL 32401-3661 | 2006-07-20 |
| 1770563892 | Todd E Crawford | Physician Assistant | 186 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-01-17 |
| Street Address |
1110 N SARAH DEWITT DR |
| City | GONZALES |
| State | TX |
| Zip Code | 78629-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547919 | Humberto Rivas | Pediatrics | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2005-06-10 |
| 1649744301 | Terry Matthew Clay | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2019-01-16 |
| 1790283596 | Diana Marie Mikulencak-picha | Registered Nurse | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2018-01-26 |
| 1700231396 | Michael Mikesh | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-05-02 |
| 1285088377 | Steven Poteet | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-04-15 |
| 1255799755 | Karen Fortune | Speech-Language Pathologist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-29 |
| 1538527031 | Sheryl Breitschopf | Occupational Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-29 |
| 1932566577 | Sandra Johnston | Social Worker | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-27 |
| 1922465533 | Brittany Hill | Physical Therapist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2016-01-27 |
| 1164840955 | Rikki Desiree Baldwin | Obstetrics & Gynecology | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032072 | Bruce Franklin Blackwell | Pharmacist | 1114 East Sarah Dewitt Drive, Gonzales, TX 78629 | 2020-10-30 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| 1831663400 | Caitlin Walker | Clinic/Center | 1300 Captain Albert Martin Trail, Gonzales, TX 78629 | 2019-01-17 |
| 1497251698 | Vaz Urgent Care Clinic, Pa | Clinic/Center | 1003 N Sarah Dewitt Drive, Gonzales, TX 78629 | 2018-04-05 |
| 1104348762 | Jeremiah Berryhill | Specialist/Technologist | 1711 E Sarah Dewitt Dr., Gonzales, TX 78629 | 2017-07-14 |
| 1073912861 | Gonzales County Senior Citizens Association, Inc | Home Delivered Meals | 818 Seydler Street, Gonzales, TX 78629 | 2014-08-18 |
| 1932544517 | Familylink Treatment Services | Counselor | 13326 Highway North 183, Gonzales, TX 78629 | 2013-05-08 |
| 1598035651 | H-e-b, Lp | Clinical Medical Laboratory | 1841 Church St., Gonzales, TX 78629 | 2012-01-06 |
| 1942441159 | Rebecca P. Bohach | Licensed Vocational Nurse | 228 St. George, Community Health Centers of South Central Texas, Inc, Gonzales, TX 78629 | 2009-03-18 |
| 1376763631 | Gonzales Isd | Local Education Agency (LEA) | 535 Fair St., Gonzales, TX 78629 | 2007-04-27 |
| Find all providers in zip 78629 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457841025 | Kody Edmond Singleton | Physician Assistant | 1014 Saint Clair Blvd Ste 1020, Gonzales, LA 70737-5027 | 2018-05-18 |
| 1528476959 | Brooke Bridevaux Borskey | Physician Assistant | 2647 S Saint Elizabeth Blvd Ste 301, Gonzales, LA 70737-5017 | 2014-07-29 |
| 1144541145 | Anne Marie Baylis | Physician Assistant | 126 5th St, Gonzales, CA 93926 | 2010-06-14 |
| 1881848877 | Claire Allain Drummond | Physician Assistant | 723 E Highway 30, Gonzales, LA 70737-4715 | 2008-11-04 |
| 1356355291 | Roger D Pittman | Physician Assistant | 133 Fourth Street, Gonzales, CA 93926-0646 | 2006-07-28 |
| 1851870679 | Alison Poandl | Physician Assistant | 850 5th St, Gonzales, CA 93926 | 2018-08-13 |
| 1306331814 | Jessica Brianne Dettman | Physician Assistant | 1023 W Highway 30, Gonzales, LA 70737-5002 | 2018-06-27 |
| 1477080869 | Matthew Sims Fiess | Physician Assistant | 850 5th St, Gonzales, CA 93926-9491 | 2017-05-16 |
| 1558789966 | Jill Ashley Elliott | Physician Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2014-04-02 |
| 1760748131 | Laura Frances Black | Physician Assistant | 2647 S Saint Elizabeth Blvd, Gonzales, Gonzales, LA 70737-5021 | 2012-04-10 |
| Find all providers in GONZALES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.