Driscoll Physicians Group

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

1004 Issued in NC

Legal business name

DRISCOLL PHYSICIANS GROUP

Practice address

3533 S Alameda St
Suite 200
Corpus Christi, TX 78411-1721

Phone

(361) 694-5086

Fax

(361) 855-9518

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Herbert Joel Stern, MD

Title

Pedicatric Cardiology

Phone

(361) 694-5086

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1033436571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "address_2": "SUITE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5086",
            "fax_number": "361-855-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "address_2": "SUITE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5086",
            "fax_number": "361-855-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRISCOLL PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PEDICATRIC CARDIOLOGY",
        "authorized_official_telephone_number": "361-694-5086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NC",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N39221",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2179756",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7979737",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Driscoll Children'S Hospital
• Driscoll Childrens Hospital
• Driscoll Maternal & Fetal Physicians Group
• Driscoll Maternal & Fetal Physicians Group
• Driscoll Maternal & Fetal Physicians Group
• Driscoll Physicians Group
• Witold Drozdowski, L.P.T.
• Mark Christopher Drumhiller, M.D.
• Caitlin Lillian Drummond
• Diane P Drysdale

• All providers in Corpus Christi, TX
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.