City of Corpus Christi

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

C13938 Issued in TX

Legal business name

CITY OF CORPUS CHRISTI

Practice address

1702 Hornerd
Corpus Christi, TX 78416

Phone

(361) 826-1303

Fax

(361) 826-7212

NPI assigned

Jul 1, 2006

Organization subpart

Yes

Parent organization

CITY OF CORPUS CHRISTIAs reported in NPPES

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

Authorized official

Name

Ms. Sandra S Heatherley, M.P.H. MT(ASCP)

Title

Division Director

Phone

(361) 851-7214

Specialties & licenses 5

Addresses

Other identifiers 8

Other names 1

• Corpus Christi-Nueces County Public Health District Laboratory Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• City of Corpus Christi U S Rev

  • Land Ambulance
  • Corpus Christi, TX
  • NPI 1972609337

  1456376011

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• City of Corpus Christi U S Rev

  • Public Health or Welfare Agency
  • Robstown, TX
  • NPI 1841634912

  O20070626000458

  Same enrollment

Part of

Nueces County

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Walter Burgin Jr., M.D.

  • Pulmonary Disease Physician
  • Corpus Christi, TX
  • NPI 1760411243
  Medicare reassignment

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1003845108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LEOPARD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78401",
            "telephone_number": "361-826-1303",
            "fax_number": "361-826-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 HORNERD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78416",
            "telephone_number": "361-826-1303",
            "fax_number": "361-826-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CORPUS CHRISTI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF CORPUS CHRISTI",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "HEATHERLEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIVISION DIRECTOR",
        "authorized_official_telephone_number": "361-851-7214",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.P.H. MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "C13938",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TX",
            "license": "C13938",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0660522",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "C13938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130958501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130958504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130958509",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130958510",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130958502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130958503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130958505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130958508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corpus Christi-Nueces County Public Health District Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• C A Cintron, M.D.
• Circles of Care
• Tara Cisco
• Julie A Cisneros
• Maria Cisneros, FNP-C
• City of Corpus Christi U S Rev
• Andrea Lee Claes
• Cassandra C Clarich, LPC
• Clarissa Esparza Serrato, D.D.S., P.L.L.C.
• Karen Clark-Singh, DC

• Clinical Medical Laboratory in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.