Active NPI
Eugene Charles Theriot, M.D.
- Anesthesiology Physician
- Corpus Christi, TX
National Provider Identifier
1396738308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J1797
- Practice address
- 613 Elizabeth St
Suite 605
Corpus Christi, TX 78404-2220 - Phone
- (361) 883-6211
- Fax
- (361) 882-4891
- NPI assigned
- Aug 24, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J1797 | TX | Primary |
Addresses
Primary practice location
613 Elizabeth St
Suite 605
Corpus Christi, TX 78404-2220
Mailing address
613 Elizabeth St
Suite 605
Corpus Christi, TX 78404-2220
Phone (361) 883-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265803 02 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1396738308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 ELIZABETH ST",
"address_2": "SUITE 605",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042220",
"telephone_number": "361-883-6211",
"fax_number": "361-882-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 ELIZABETH ST",
"address_2": "SUITE 605",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042220",
"telephone_number": "361-883-6211",
"fax_number": "361-882-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERIOT",
"first_name": "EUGENE",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J1797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265803 02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
- Therapy Connections of South Texas PLLC
- Therapy Connections of South Texas, PLLC (Therapy Connections of South Texas)
- Therapy First L.L.C
- Therapy First LLC
- Theresa Sharpe, PH.D., PLLC
- Nicole A Theriot, LCSW
- Thi of Texas at Samaritan Hospice, LLC (Compassus - Corpus Christi)
- Allen J Thibodeaux Jr., CRNA
- Patrice H Thibodeaux
- Sasha Thieme
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.