DRISCOLL CHILDREN'S HOSPITAL (NPI# 1861658205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861658205 |
| Entity Type | Organization |
| Organization Name | DRISCOLL CHILDREN'S HOSPITAL |
| Practice Address |
3533 S. Alameda Corpus Christi TX 78411-1721 |
| Practice Telephone | 3616945000 |
| Practice Fax Number | 3618082089 |
| Mailing Telephone | 3616945000 |
| Mailing Fax Number | 3618082089 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | DAVID ERIC HAMON (CFO) |
| Authorized Official Telephone | 3616944602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
110249 | TX | Ambulatory Health Care Facilities |
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
008106 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | ESRD -MEDICAID CSHCN | 132812209 | 01 |
| TX | 1689067910 | 05 | |
| TX | ESRD -TRADITIONAL MEDICAID | 132812208 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437405115 | Driscoll Children's Hospital | General Acute Care Hospital | 5502 Saratoga Blvd. Apt.9, Corpus Christi, TX 78413-2950 | 2012-07-31 |
| 1689067910 | Driscoll Children's Hospital | Clinic/Center | 1120 E Ridge Rd, Mcallen, TX 78503-5490 | 2015-03-11 |
| 1336495910 | Driscoll Children's Hospital | General Acute Care Hospital | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2012-08-01 |
| 1265665475 | Driscoll Children's Hospital | Clinic/Center | 7121 S Padre Island Dr, 303, Corpus Christi, TX 78412-4938 | 2009-09-03 |
| 1033357645 | Driscoll Children's Hospital | General Acute Care Hospital | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2009-02-04 |
| 1215064506 | Driscoll Children's Hospital | Ambulance | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DRISCOLL CHILDREN'S HOSPITAL | 3533 S Alameda St, Corpus Christi, TX 78411-1721 |
| Street Address |
3533 S. ALAMEDA |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78411-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003026139 | Melissa Catherine Mizesko | Pediatrics | 3533 S. Alameda, Corpus Christi, TX 78411 | 2007-05-24 |
| 1588281414 | Jason George Prince | Student in an Organized Health Care Education/Training Program | 3533 S. Alameda, Medical Education, Corpus Christi, TX 78411 | 2020-06-26 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871055368 | Fresenius Medical Care King's Crossing, LLC | Clinic/Center | 5834 Yorktown Blvd, Corpus Christi, TX 78414-5301 | 2019-04-03 |
| 1962964452 | Fresenius Medical Care Corpus Christi Home, LLC | Clinic/Center | 5842 Yorktown Blvd, Corpus Christi, TX 78414 | 2019-04-03 |
| 1003383902 | Fresenius Medical Care Corpus Christi Bayside, LLC | Clinic/Center | 1121 3rd St, Corpus Christi, TX 78404-2311 | 2018-10-29 |
| 1003346792 | Gilwards Dialysis LLC | Clinic/Center | 6018 Parkway Dr, Corpus Christi, TX 78414-2488 | 2017-06-14 |
| 1316221971 | Dialysis Newco Inc | Clinic/Center | 7502 South Padre Island Drive, Corpus Christi, TX 78412-4308 | 2011-09-30 |
| 1093998940 | Isd Corpus Christi LLC | Clinic/Center | 1533 Holly Rd, Corpus Christi, TX 78417-2010 | 2007-12-14 |
| 1770782393 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 6017 Parkway Dr, Corpus Christi, TX 78414-2456 | 2007-07-13 |
| 1609966100 | Dialysis Management Corporation | Clinic/Center | 1647 S Alameda St, Corpus Christi, TX 78404-3110 | 2006-10-13 |
| 1255443131 | Dialysis Management Corporation | Clinic/Center | 4112 S Staples St, Suite Ab, Corpus Christi, TX 78411-2109 | 2006-08-31 |
| 1174635056 | Renal Care Group Texas, Inc. | Clinic/Center | 4147 Five Points Rd Ste G, Corpus Christi, TX 78410-4541 | 2006-08-31 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
Please comment or provide details below to improve the information on DRISCOLL CHILDREN'S HOSPITAL.
| 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.