FARA LYNN CRAWFORD (NPI# 1902814544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902814544 |
Entity Type | Individual |
Full Name | FARA LYNN CRAWFORD |
Credential | PA-C |
Practice Address |
6600 Fish Pond Rd Ste 101 Waco TX 76710-2582 |
Practice Telephone | 2547763188 |
Practice Fax Number | 2547763607 |
Mailing Telephone | 2547763188 |
Mailing Fax Number | 2547763607 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2012-04-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA04837 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA04837 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 280585501 | 05 | |
TX | 280585502 | 05 | |
TX | 280585503 | 05 | |
TX | STATE LICENSE | PA04837 | 01 |
Street Address |
6600 FISH POND RD STE 101 |
City | WACO |
State | TX |
Zip Code | 76710-2582 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205192994 | Paul Michael Claiborne | Surgery | 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 | 2012-04-06 |
1134265580 | Josh Harris Goldstrich | Surgery | 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 | 2007-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
Find all providers in zip 76710 |
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 |
---|---|---|---|---|
1245871052 | Elizabeth Leverson | Physician Assistant | 3912 Austin Ave, Waco, TX 76710-7127 | 2019-10-02 |
1063763225 | Jamie Lynn Laird | Physician Assistant | 5400 Crosslake Pkwy Ste 300, Waco, TX 76712 | 2012-09-27 |
1215116652 | Michael Paul Fichter Jr. | Physician Assistant | 7125 New Sanger Rd Ste A, Waco, TX 76712-4054 | 2007-11-02 |
1710090170 | Anthony B Balchunas | Physician Assistant | 601 W State Hwy 6, Ste 105, Waco, TX 76710-5575 | 2006-08-17 |
1316966286 | Donald Eugene Hicks | Physician Assistant | 4205 Franklin Ave, Waco, TX 76710 | 2006-07-19 |
1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
1073577953 | Richard James Hecker | Physician Assistant | 1226 Washington Ave, Waco, TX 76701-1127 | 2006-04-17 |
1669448718 | Patricia Ann Goaley | Physician Assistant | 1445 Stillwater Rd, Waco, TX 76708-7612 | 2006-02-28 |
1992771927 | Ashley Glover Baker | Physician Assistant | 50 Hillcrest Medical Blvd Ste 206, Waco, TX 76712-8954 | 2006-02-28 |
1710514302 | Bettie Degracia | Physician Assistant | 405 Londonderry Dr Ste 311, Waco, TX 76712-7922 | 2020-03-24 |
Find all providers in WACO |
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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.