NPIMap

Organization Active NPI

Acute Care Surgical Affiliates of Texas PA

  • Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1407322415
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ACUTE CARE SURGICAL AFFILIATES OF TEXAS PA
Practice address
600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone
(916) 441-0400
NPI assigned
Oct 17, 2018
Last updated
Nov 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Mr. Sean M. Reed
Title
Contract Manager
Phone
(916) 441-0400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X
Surgery Physician 208600000X Primary

Addresses

Primary practice location

600 Elizabeth St
Corpus Christi, TX 78404-2235

Mailing address

PO Box 399136
San Francisco, CA 94139-9136
Phone (916) 441-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190123000295 TX Part B Supplier - Clinic/Group Practice 9931446481 Receives reassigned benefits from 136 practitioners
Practice locations: El Paso, TX; Corpus Christi, TX; Beaumont, TX; Amarillo, TX

National Provider Directory

National Provider Directory

Locations

2965 Harrison Ave
Ste 217
Beaumont, TX 77702
Phone (409) 203-3055

Practitioners & affiliated clinicians

Practitioners 190

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 190

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1407322415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399136",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941399136",
            "telephone_number": "916-441-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235",
            "telephone_number": "916-441-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE SURGICAL AFFILIATES OF TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "916-441-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 17, 2020; 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.

Verify at the official NPI Registry.