MR. JERMAHL DAVID MCKISSICK (NPI# 1194045187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194045187 |
| Entity Type | Individual |
| Full Name | MR. JERMAHL DAVID MCKISSICK |
| Credential | PA-C |
| Practice Address |
10651 E St Naval Health Clinic Corpus Christi Tx Corpus Christi TX 78419-5130 |
| Practice Telephone | 5595131586 |
| Mailing Telephone | 5595131586 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1091561 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10651 E ST NAVAL HEALTH CLINIC CORPUS CHRISTI TX |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78419-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849286 | William G. Beck | Specialist | 10651 E St, Corpus Christi, TX 78419-5130 | 2005-05-24 |
| 1356992713 | Diane Marie Everett | Pharmacist | 10651 E St, Corpus Christi, TX 78419-5130 | 2019-09-26 |
| 1790139905 | Finis Ashton Taylor IIi | Psychiatry & Neurology | 10651 E St, Corpus Christi, TX 78419-5130 | 2016-04-14 |
| 1568879401 | Traci Burrell | Clinic/Center | 10651 E St, Attention Medical Staff Services Office, Corpus Christi, TX 78419-5130 | 2014-07-11 |
| 1215275110 | Rhett Arthur Ketschke | General Practice | 10651 E St, Corpus Christi, TX 78419-5130 | 2013-01-28 |
| 1497007785 | Joshua John Morgan | Nurse Practitioner | 10651 E St, Corpus Christi, TX 78419-5130 | 2012-10-10 |
| 1821349002 | Naval Health Clinic Corpus Christi | Clinic/Center | 10651 E St, Corpus Christi, TX 78419-5130 | 2012-09-27 |
| 1649562398 | Colleen Anne Graham | Physical Therapist | 10651 E St, Physical Therapy Clinic, Corpus Christi, TX 78419-5130 | 2011-05-12 |
| 1497054258 | Kevin Hoang | Optometrist | 10651 E St, Corpus Christi, TX 78419-5130 | 2011-03-19 |
| 1558670166 | Brandi Nicole Milmo | Military Health Care Provider | 10651 E St, Corpus Christi, TX 78419-5130 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528425840 | Danny X Xu | Emergency Medical Technician, Paramedic | Naval Health Clinic Corpus Christi, 10651 E. Street, Corpus Christi, TX 78419 | 2016-01-16 |
| 1457580235 | Jessica Nichols | Nurse Practitioner | 10651 E. Street, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2009-07-14 |
| 1770607145 | Gideon Allen Kain | Military Health Care Provider | 10651 E St., Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2007-03-19 |
| 1427157668 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Corpus Christi, TX 78419 | 2006-09-22 |
| 1417307349 | Erin Irene Ausborn | Family Medicine | 10651 E St., Corpus Christi, TX 78419 | 2016-06-22 |
| 1033521737 | Naval Health Clinic Corpus Christi | Military/U.S. Coast Guard Pharmacy | 10651 E St Bldg H100, Naval Health Clinic Corpus Christi, Corpus Christi, TX 78419 | 2014-05-29 |
| 1811191984 | Naval Ambulatory Care Center,corpus Christi, Texas | Clinic/Center | Nas Corpus Christi, Corpus Christi, TX 78419-5021 | 2007-06-13 |
| 1639426059 | William Joseph Bates | Dentist | 10651 E St Bldg 100, Corpus Christi, TX 78419-5130 | 2012-08-06 |
| 1669489175 | Lawrence Anthony Ramirez | Family Medicine | 10651 E St Bldg H-100, Corpus Christi, TX 78419-5130 | 2006-08-01 |
| 1689642506 | Kenneth Wayne Graves | Military Health Care Provider | Naval Hospital Corpus Christi, 10651 E Street, Corpus Christi, TX 78419-5130 | 2006-03-08 |
| Find all providers in zip 78419 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225579618 | Oksana Evans | Physician Assistant | 5920 Sarartoga Blvd, Ste 540, Corpus Christi, TX 78414 | 2017-03-17 |
| 1740517945 | Mari Katrina D Capupus | Physician Assistant | 2706 W Mount Dr, Corpus Christi, TX 78414-3211 | 2009-11-09 |
| 1083800874 | Eileen M Widrick | Physician Assistant | 3945 Ih 69 Access Rd, Corpus Christi, TX 78410-4531 | 2007-09-14 |
| 1235169400 | Paul Donnelly Bridges | Physician Assistant | 14493 S Padre Island Dr, A-320, Corpus Christi, TX 78418-5931 | 2006-07-04 |
| 1497731632 | Teresa Morris | Physician Assistant | 4030 River Hill Dr, Corpus Christi, TX 78410-5606 | 2005-12-20 |
| 1538150206 | Darin Michael Mccann | Physician Assistant | 7101 Williams Dr, Corpus Christi, TX 78412-4947 | 2005-11-02 |
| 1417956574 | Jeffrey Travis Green Jr. | Physician Assistant | 2502 Morgan Ave, Corpus Christi, TX 78405-1807 | 2005-07-20 |
| 1083158802 | Padgett Parker | Physician Assistant | 14120 Northwest Blvd, Corpus Christi, TX 78410-5121 | 2016-12-13 |
| 1437605466 | Woonsik Lee | Physician Assistant | 1521 S Staples St Ste 803, Corpus Christi, TX 78404-3187 | 2016-08-30 |
| 1598096018 | David Ettinger | Physician Assistant | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2010-01-22 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78419 |
Please comment or provide details below to improve the information on MR. JERMAHL DAVID MCKISSICK.
| 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.