Anon Srikiatkhachorn

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

U1561 Issued in TX

Practice address

5402 S Staples St
Corpus Christi, TX 78411-4670

Phone

(361) 882-3487

NPI assigned

Mar 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corpus Christi Allergy AssociatesGroup PAC ID 1951546837, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corpus Christi Allergy Associates

  • Allergy & Immunology Physician
  • Corpus Christi, TX
  • NPI 1093065047
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1023718756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645246",
            "telephone_number": "512-732-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114670",
            "telephone_number": "361-882-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIKIATKHACHORN",
        "first_name": "ANON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "TX",
            "license": "U1561",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "U1561",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "OH",
            "license": "35.076509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bradley Springer, PA-C
• Selma Sprunger, PTA
• Cynthia Spurgat, RD
• SQLC Senior Living Center at Corpus Christi, Inc.
• Patricia Squires, NURSE PRACTITIONER
• SSC Nueces Retama LLC
• Michael Anthony St Angelo
• St Gabriel Corpus Opco LLC
• Julie Marie Stack
• Anita Stackhouse, SLP

• Allergy & Immunology Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.