Emcc Padre Island ER LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EMCC PADRE ISLAND ER LLC

Practice address

14433 S Padre Island Dr
Corpus Christi, TX 78418-5938

Phone

(361) 949-1900

Fax

(361) 949-2500

NPI assigned

Jun 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Newsom

Title

President

Phone

(469) 830-8200

Specialties & licenses 1

Addresses

Other names 1

• Surepoint Emergency Center Padre Island Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1003476961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD STE 35",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635018",
            "telephone_number": "469-830-8200",
            "fax_number": "469-830-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14433 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185938",
            "telephone_number": "361-949-1900",
            "fax_number": "361-949-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMCC PADRE ISLAND ER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-830-8200"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surepoint Emergency Center Padre Island",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surepoint Emergency Center Padre Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elzner
• Emcc Corpus Midtown ER LLC
• Emcc Corpus Midtown ER Professional PLLC
• Emcc Corpus Pi ER Professional PLLC
• Emcc Corpus Urgent Care, LLC
• Emcc Padre Island Urgent Care LLC
• Empire Health LLC
• Empower Behavioral Health
• Empowering Wellness Hub
• Mohammad A Emran, M.D.

• Emergency Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.