Organization Active NPI

Ennis Joslin Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1154910784
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ENNIS JOSLIN EMERGENCY PHYSICIANS, PLLC
Practice address
7750 S Padre Island Dr
Corpus Christi, TX 78412-5203
Phone
(361) 994-1911
Fax
(512) 852-4625
NPI assigned
Jan 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Martin Grieme, MD
Title
PLLC Member/Director
Phone
(361) 851-6626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

7750 S Padre Island Dr
Corpus Christi, TX 78412-5203

Mailing address

PO Box 6040
Corpus Christi, TX 78466-6040
Phone (361) 723-0226

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2095789Physicians Premier Emergency Room-Ennis Joslin7750 South Padre Island Drive, Corpus Christi, TX 78412AccreditationMay 24, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1154910784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6040",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666040",
            "telephone_number": "361-723-0226",
            "fax_number": "512-852-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784125203",
            "telephone_number": "361-994-1911",
            "fax_number": "512-852-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS JOSLIN EMERGENCY PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "GRIEME",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PLLC MEMBER/DIRECTOR",
        "authorized_official_telephone_number": "361-851-6626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.