Individual provider Active NPI

Christopher James Coroneos, MD MSC FRCSC

  • Student in an Organized Health Care Education/Training Program
  • Houston, TX
National Provider Identifier
1164952693
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
BP10058863 Issued in TX
Practice address
1515 Holocombe Blvd. the University of Texas MD Anderso
Houston, TX 77502
Phone
(713) 794-1247
Fax
(713) 794-5492
NPI assigned
Jun 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10058863 TX Primary

Addresses

Primary practice location

1515 Holocombe Blvd. the University of Texas MD Anderso
Houston, TX 77502

Mailing address

1400 Pressler St. the University of Texas MD Anderson C
Department of Plastic Surgery - Unit 1488
Houston, TX 77030
Phone (713) 794-1247

Other identifiers 1

IdentifierTypeStateIssuer
CPSO93568OtherCOLLEGE PHYSICIANS SURGEONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164952693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PRESSLER ST. THE UNIVERSITY OF TEXAS MD ANDERSON C",
            "address_2": "DEPARTMENT OF PLASTIC SURGERY - UNIT 1488",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-794-1247",
            "fax_number": "713-794-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HOLOCOMBE BLVD. THE UNIVERSITY OF TEXAS MD ANDERSO",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77502",
            "telephone_number": "713-794-1247",
            "fax_number": "713-794-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONEOS",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD MSC FRCSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10058863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLEGE PHYSICIANS SURGEONS",
            "identifier": "CPSO93568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.