Individual provider Active NPI

Joseph E Whitfield Sr., P.A.

  • Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1265495683
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 03777 Issued in TX
Practice address
5440 Old Brownsville Rd
Corpus Christi, TX 78417
Phone
(361) 452-1151
Fax
(361) 452-1517
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 03777 TX Primary

Addresses

Primary practice location

5440 Old Brownsville Rd
Corpus Christi, TX 78417

Mailing address

5440 Old Brownsville Rd
Corpus Christi, TX 78417
Phone (361) 452-1151

Other identifiers 1

IdentifierTypeStateIssuer
196911504MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040515000439 TX Practitioner - Physician Assistant 4880684315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Specialists of Texas PLLCGroup PAC ID 3072893726, 6 clinicians

Practice addresses (Care Compare)

5440 Old Brownsville Rd
Corpus Christi, TX 78417-9765
Phone (361) 452-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 03777TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Start Behavioral Health Services Current Accepting new patients
Bay Area Psychiatry Services PC Past Accepting new patients
Raul R Capitaine Mdpa Physician Assistant Past Accepting new patients
M Ayman Ghraowi, MD PA Past Accepting new patients
South Texas Comprehensive Cancer Centers PLLC Past Accepting new patients

Locations

5440 Old Brownsville Rd
Corpus Christi, TX 78417
Phone (361) 452-1151

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1265495683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-452-1151",
            "fax_number": "361-452-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-452-1151",
            "fax_number": "361-452-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 03777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196911504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.