Corpus Pain and Health PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CORPUS PAIN AND HEALTH PLLC

Practice address

4639 Corona Dr Ste 45
Corpus Christi, TX 78411-5423

Phone

(361) 226-4600

Fax

(361) 266-4603

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Gary Kimmel, DCNPI 1053762070

Title

Sole Member

Phone

(817) 897-7494

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald G Kimmel, FNP-C

  • Family Nurse Practitioner
  • Grapevine, TX
  • NPI 1053762070
  NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1407577687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 REMINGTON FALLS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762442296",
            "telephone_number": "817-897-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 CORONA DR STE 45",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115423",
            "telephone_number": "361-226-4600",
            "fax_number": "361-266-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS PAIN AND HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "817-897-7494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corpus Clinics Management, LLC
• Corpus Erc Acquisition Partners LLC
• Corpus Family Practice PLLC
• Corpus Nephrology Network PLLC
• Corpus Nursing and Rehabilitation, LP
• Grecia Corrada, MD
• Romulo Corrada, M.D.
• Kelly Joy Corre, LVN
• Edgar L Cortes, M.D.
• Edgar Richard Cortes, M.D.

• Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.