PEDIATRIC SURGICAL SPECIALISTS OF SOUTH TEXAS LLP (NPI# 1639303910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639303910 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SURGICAL SPECIALISTS OF SOUTH TEXAS LLP |
| Practice Address |
3533 S Alameda St Suite 209 Corpus Christi TX 78411-1721 |
| Mailing Address |
Po Box 30104 Corpus Christi TX 78463-0104 |
| Practice Telephone | 3618540201 |
| Practice Fax Number | 3618557572 |
| Mailing Telephone | 3618540201 |
| Mailing Fax Number | 3618557572 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | DR. JOHN MARK MORALES (PRESIDENT) |
| Authorized Official Telephone | 3618540201 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
M0019 | TX | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | L1528 | TX | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | J5418 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3533 S ALAMEDA ST SUITE 209 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78411-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363671 | Meera Gangadharan | Anesthesiology | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2005-06-01 |
| 1629684816 | Guyu Li | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-09-22 |
| 1972113579 | Kenechukwu Okechukwu Aronu | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-08-07 |
| 1053939488 | Obinna Chijindu Ubah | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-07-13 |
| 1952929861 | Jordi Friese | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-07-07 |
| 1053936971 | Alliskair Anibal Ortiz | Clinic/Center | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-16 |
| 1811512767 | Maria Alejandra Castillo Sanchez | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-16 |
| 1609490630 | Kassandra Madore | Audiologist | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-05 |
| 1982228607 | Vera Whole Health Wa, PC | Clinic/Center | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-05-29 |
| 1811510563 | Jeffrey Joon Taek Lee | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
| 1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
| 1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
| 1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
| 1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
| 1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
| 1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
| 1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
| 1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
| Find all providers in zip 78411 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467470542 | Manuel Caceres Polo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1224 3rd St Ste 1, Corpus Christi, TX 78404-2354 | 2006-07-17 |
| 1558315036 | Javier Alonso, M.d., Ph.d., P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5242 Holly Rd, Corpus Christi, TX 78411-4633 | 2006-05-20 |
| 1356341879 | Herbert E Madalin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5026 Wooldridge Rd, Corpus Christi, TX 78413-2733 | 2005-07-27 |
| 1801895222 | Sergio Tavares | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 601 Texan Trl, #205, Corpus Christi, TX 78411-2547 | 2005-07-18 |
| 1114220365 | Strong Heart Cardiovascular Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 601 Texan Trl, 301, Corpus Christi, TX 78411-2547 | 2010-12-09 |
| 1275771792 | Pediatric Surgical Specialists of South Texas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3533 S Alameda St, #209, Corpus Christi, TX 78411-1721 | 2009-01-22 |
| 1538255229 | Mark R Bielefeld | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1224 3rd St, Ste 1, Corpus Christi, TX 78404-2354 | 2006-10-04 |
| 1952408585 | Wilfredo Crespo-velez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1224 3rd St Ste 1, Corpus Christi, TX 78404-2354 | 2006-09-17 |
| 1295742898 | Timothy W Swain IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 601 Texan Trl, 301, Corpus Christi, TX 78411-2547 | 2006-08-03 |
| 1194772160 | Javier Alonso | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5242 Holly Rd, Corpus Christi, TX 78411-4633 | 2006-05-27 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
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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.