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CRAIG THOMAS DE WAAL MD NPI 1235226721


NPI Information

NPI: 1235226721
Provider Name: CRAIG THOMAS DE WAAL, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1201 W 38TH ST
AUSTIN, TX
ZIP 78705
Phone: (512) 324-1000
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Craig Thomas De Waal, MD is an emergency medicine in Austin, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Craig Thomas De Waal, MD NPI is 1235226721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1201 W 38TH ST
AUSTIN, TX
ZIP 78705-006
Phone: (512) 324-1000

The NPI 1235226721 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 12/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineM5683TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18K8349OTHERTEXASBCBS
28W9493OTHERTEXASBCBS
3184866502MEDICAIDTEXAS
48V5765OTHERTEXASBCBS
5184866503OTHERTEXASCSHCN
68J3653MEDICARE PINTEXAS
7I71724MEDICARE UPINTEXAS
88J3656MEDICARE PINTEXAS
98J3654MEDICARE PINTEXAS
108S1819OTHERTEXASBCBS
118X7452OTHERTEXASBCBS
12184866507MEDICAIDTEXAS
13184866506MEDICAIDTEXAS
14P00441409MEDICARE PINTEXAS
15184866505OTHERTEXASCSHCN
168J3655MEDICARE PINTEXAS
178F5129MEDICARE PINTEXAS
18184866501MEDICAIDTEXAS
19184866504MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.