Active NPI
Children'S Physician Services of South Texas
- Pediatric Surgery Physician
- Corpus Christi, TX
National Provider Identifier
1356519565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- Legal business name
- CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
- Practice address
- 3533 S Alameda St Ste 302
Corpus Christi, TX 78411-1721 - Phone
- (361) 694-4700
- NPI assigned
- Feb 11, 2008
- Organization subpart
- Yes
- Parent organization
- CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale Obermueller
- Title
- Administrator
- Phone
- (361) 694-5081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | Primary |
Addresses
Primary practice location
3533 S Alameda St Ste 302
Corpus Christi, TX 78411-1721
Mailing address
3533 S Alameda St Ste 302
Corpus Christi, TX 78411-1721
Other names 1
- Children's Surgical Services of South Texas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324001704 | TX | Part B Supplier - Clinic/Group Practice | 3678478872 |
Receives reassigned benefits from 521 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
O20040324001704
-
- Diagnostic Radiology Physician
- Corpus Christi, TX
- NPI 1598737124
O20040324001704
-
- Pediatrics Physician
- Corpus Christi, TX
- NPI 1801856786
O20040324001704
National Provider Directory
National Provider Directory- Part of
- Children'S Physician Services of South Texas
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pediatrics Physician
- Corpus Christi, TX
- NPI 1801856786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1356519565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST STE 302",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST STE 302",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721",
"telephone_number": "361-694-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS",
"enumeration_date": "2008-02-11",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "OBERMUELLER",
"authorized_official_first_name": "DALE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "361-694-5081"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Surgical Services of South Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corpus Christi, TX
- CHI Medical Services PLLC
- Chinanu CHI-Ukpai
- Eric Ping Chiang, MD
- Melissa Ann Chiasson, MD
- Children'S Orthopaedic Associates of South Texas, LLP
- Children'S Physician Services of South Texas
- Children'S Physician Services of South Texas
- Children'S Physician Services of South Texas
- Barbara Namanda Chimbunde, P.A.
- Chioma Chime, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.