Eileen M Widrick, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01554 Issued in TX

Practice address

3945 Ih 69 Access Rd
Corpus Christi, TX 78410-4531

Phone

(361) 767-8332

Fax

(361) 767-1465

NPI assigned

Sep 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• William G Curtis, MD PA

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1316160849
  Medicare reassignment
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Rural Health Solutions PA

  • Rural Health Clinic/Center
  • Robstown, TX
  • NPI 1417998287
  NPD (past)
• Texas Family Wellness Clinic, Inc.

  • Family Medicine Physician
  • Robstown, TX
  • NPI 1629687728
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1083800874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 IH 69 ACCESS RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104531",
            "telephone_number": "361-767-8332",
            "fax_number": "361-767-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 IH 69 ACCESS RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104531",
            "telephone_number": "361-767-8332",
            "fax_number": "361-767-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDRICK",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01554",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Bradford Whitenburg, D.C.
• Julie Shepherd Whiteneck, MS, CCC-SLP
• Joseph E Whitfield Sr., P.A.
• Wholistic Care Counseling & Wellness, LLC
• Loren Sandra Mae Wicke
• Jamie Michele Wiedemann
• Lidia Elyse Wiedower, RN BSN MS LPC
• Theresa E Wiese, LVN
• Kathryn Denise Wiesman, M.D.
• Evette Cherrel Wigginton, LPC

• Physician Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.