NPIMap

Organization Active NPI

Foot & Ankle Specialists of Corpus Christi PLLC

  • Podiatrist
  • Portland, TX
National Provider Identifier
1164017703
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT & ANKLE SPECIALISTS OF CORPUS CHRISTI PLLC
Practice address
505 Houston St
Portland, TX 78374-1645
Phone
(361) 977-2035
Fax
(361) 977-2038
NPI assigned
Mar 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Corey Michael GoolsbyNPI 1790120681
Title
Provider/Owner
Phone
(361) 977-2035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

505 Houston St
Portland, TX 78374-1645

Mailing address

505 Houston St
Portland, TX 78374-1645
Phone (361) 977-2035

National Provider Directory

National Provider Directory

Locations

3301 S Alameda St
Ste 306
Corpus Christi, TX 78411
Phone (361) 852-4200

505 Houston St
Portland, TX 78374
Phone (361) 884-3984

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1164017703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HOUSTON ST",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741645",
            "telephone_number": "361-977-2035",
            "fax_number": "361-977-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HOUSTON ST",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741645",
            "telephone_number": "361-977-2035",
            "fax_number": "361-977-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE SPECIALISTS OF CORPUS CHRISTI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "361-977-2035"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.