SOUTH PADRE ISLAND PEDIATRIC CENTER (NPI# 1548450190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548450190 |
| Entity Type | Organization |
| Organization Name | SOUTH PADRE ISLAND PEDIATRIC CENTER |
| Practice Address |
3845 S Spid Dr Corpus Christi TX 78415-2919 |
| Practice Telephone | 3618544626 |
| Mailing Telephone | 3618544626 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |
| Authorized Official Name | DR. MULUKUTLA RAMAKRISHNA (PRESIDENT) |
| Authorized Official Telephone | 3618544626 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | E4618 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127051407 | 05 | |
| TX | 645665166 | 05 | |
| TX | 092694101 | 05 | |
| TX | 645660168 | 05 | |
| TX | 645666168 | 05 | |
| TX | 127051406 | 05 | |
| TX | 093832601 | 05 | |
| TX | 127051405 | 05 | |
| TX | 127051403 | 05 | |
| TX | 127051404 | 05 | |
| TX | 121157503 | 05 | |
| TX | 645663163 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134374713 | South Padre Island Pediatric Center | Clinic/Center | 220 E. St. Mary's Street, Mathis, TX 78368 | 2008-11-24 |
| 1720233687 | South Padre Island Pediatric Center | Clinic/Center | 301 S San Patricio St, Sinton, TX 78387-2432 | 2008-11-19 |
| Street Address |
3845 S SPID DR |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78415-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639702236 | The Landing At Corpus Christi | Residential Treatment Facility, Emotionally Disturbed Children | 2058 Fm 665, Corpus Christi, TX 78415 | 2020-02-21 |
| 1578093506 | Texas Wellness Center of Corpus Christi Pllc | Chiropractor | 6122 Kostoryz Road, 102, Corpus Christi, TX 78415 | 2017-06-13 |
| 1740574300 | William Lee Townsend | Technician, Other | 2910 South Padre Island Drive, Corpus Christi, TX 78415 | 2011-06-01 |
| 1144523671 | Coastal Bend Wellness Foundation Inc | Case Manager/Care Coordinator | 2882 Holly Rd., Corpus Christi, TX 78415 | 2010-12-06 |
| 1528230422 | True Medical Imaging | Clinic/Center | 3502 Spid, Corpus Christi, TX 78415 | 2008-03-31 |
| 1396949152 | Medical Specialist Group Pa | Physical Medicine & Rehabilitation | 3434 Saratoga Boulevard, Corpus Christi, TX 78415 | 2007-06-13 |
| 1396809158 | Access Rehab & Mobility LLC | Durable Medical Equipment & Medical Supplies | 4531 Ayers St, Suite 304, Corpus Christi, TX 78415 | 2006-12-19 |
| 1912065954 | Jorge S Rodriguez | Legal Medicine | 3845 Spid, Corpus Christi, TX 78415 | 2006-12-04 |
| 1407920200 | Charles Albert Votzmeyer Jr. | Chiropractor | 3434 Saratoga 102, Corpus Christi, TX 78415 | 2006-11-20 |
| 1144390899 | American Habilitation Services Inc | Intermediate Care Facility, Mentally Retarded | 3031 Mcardle, Corpus Christi, TX 78415 | 2006-11-09 |
| Find all providers in zip 78415 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174072862 | Stephanie Sellars | Specialist | 13905 Laffite Drive, Corpus Christi, TX 78418-6133 | 2016-09-23 |
| 1427403112 | Knv Therapy Home Services LLC | Specialist | 2505 Las Brisas St, Corpus Christi, TX 78414-5015 | 2016-04-30 |
| 1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
| 1346582095 | Gary Kao | Specialist | 5802 Saratoga Blvd Ste 330, Corpus Christi, TX 78414-4252 | 2013-03-20 |
| 1326310376 | Angel Cuellar Martinez | Specialist | 2701 Morgan Ave., Suite 600, Corpus Christi, TX 78405-1856 | 2012-02-07 |
| 1285903179 | South Texas Dermatology Pllc | Specialist | 1300 Third Street, Corpus Christi, TX 78404 | 2011-12-21 |
| 1497086524 | Valley Aids Council | Specialist | 400 Mann St, Ste 850, Corpus Christi, TX 78401-2046 | 2010-01-29 |
| 1215101159 | Ptmd Lp | Specialist | 5826 Esplanade Dr Ste 202c, Corpus Christi, TX 78414-4198 | 2008-04-22 |
| 1457536906 | South Texas Surgical Assistants, Inc. | Specialist | 321 Texan Trl, Suite 240, Corpus Christi, TX 78411-1825 | 2008-01-03 |
| 1215136486 | Linda Kloss | Specialist | 5430 Chevy Chase Dr, Corpus Christi, TX 78412-2701 | 2007-07-17 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78415 |
Please comment or provide details below to improve the information on SOUTH PADRE ISLAND PEDIATRIC CENTER.
| 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.