Active NPI
Kevin S Marcum, P.A.-C.
- Physician Assistant
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04836
- Practice address
- 1227 3Rd St
Corpus Christi, TX 78404-2313 - Phone
- (361) 883-4323
- Fax
- (361) 883-4324
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04836 | TX | Primary |
Addresses
Primary practice location
1227 3Rd St
Corpus Christi, TX 78404-2313
Mailing address
1227 3Rd St
Corpus Christi, TX 78404-2313
Phone (361) 883-4323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8Y0857 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747
800 E Hwy 71
Smithville, TX 78957-1730
Phone (512) 237-3214
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04836 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | Accepting new patients | |
| Leeroy McCurley MD PA | Current | Accepting new patients | |
| Camino Real Emergency Physicians PLLC | Physician Assistant | Past | Accepting new patients |
| Methodist Health Centers | Past | Accepting new patients | |
| Dallas Anesthesiology Associates, PA | Past | Accepting new patients | |
| Texas Em-I Medical Services, P.a. | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
3121 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (214) 649-4686
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412
3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081
7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Urgent Care Clinic/Center
- Melissa, TX
- NPI 1821417072
-
- Emergency Medicine Physician
- Carrollton, TX
- NPI 1134769789
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
- Family Medicine Physician
- Denton, TX
- NPI 1437676640
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Family Medicine Physician
- Grand Prairie, TX
- NPI 1588795652
-
- Emergency Medicine Physician
- Livingston, TX
- NPI 1992871966
Physician Assistant
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1497700280
-
dba Houston Methodist Cypress Hospital
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Seton Smithville
- Critical Access Hospital
- Smithville, TX
- NPI 1619726064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1184631046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 3RD ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042313",
"telephone_number": "361-883-4323",
"fax_number": "361-883-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 3RD ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042313",
"telephone_number": "361-883-4323",
"fax_number": "361-883-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUM",
"first_name": "KEVIN",
"middle_name": "S",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8Y0857",
"state": "TX"
}
],
"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 Oct 2, 2012; 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.
- 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.