Individual provider Active NPI

Edward Stanton Shoemaker, MD

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
National Provider Identifier
1437153400
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E1133 Issued in TX
Practice address
7121 S Spid Dr
Ste 200
Corpus Christi, TX 78412-4940
Phone
(361) 993-6000
Fax
(361) 993-3676
NPI assigned
Jun 8, 2005
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E1133 TX Primary
Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X E1133 TX

Addresses

Primary practice location

7121 S Spid Dr
Ste 200
Corpus Christi, TX 78412-4940

Mailing address

5920 Saratoga Blvd
Ste 101
Corpus Christi, TX 78414-4105
Phone (361) 993-6000

Other identifiers 1

IdentifierTypeStateIssuer
044729401MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000205 TX Practitioner - Obstetrics/Gynecology 8820082720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5920 Saratoga Blvd
Suite 395
Corpus Christi, TX 78414-4137
Phone (361) 929-7088

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E1133TXMDObesity Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovation in Womens Health PLLC Obstetrics & Gynecology CurrentSince Aug 24, 2016 Accepting new patients
Epiphany Women's Health Obstetrics & Gynecology PastSince Sep 1, 2024 Accepting new patients

Locations

2520 E Main St
Ste 206
Alice, TX 78332
Phone (361) 661-8090

301 S Hillside Dr
Ste 10
Beeville, TX 78102
Phone (361) 354-2898

5920 Saratoga Blvd
Ste 101
Corpus Christi, TX 78414
Phone (361) 906-1277

5920 Saratoga Blvd
Ste 395
Corpus Christi, TX 78414
Phone (361) 737-0600

509 E King Ave
Kingsville, TX 78363
Phone (361) 595-4130

Interoperability endpoints

  • Direct secure messaging: eshoemaker354808@christushealth.direct-ci.net
  • Direct secure messaging: innovationinwomenshealth.estantonshoemaker@133645.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1437153400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "STE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144105",
            "telephone_number": "361-993-6000",
            "fax_number": "361-993-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S SPID DR",
            "address_2": "STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124940",
            "telephone_number": "361-993-6000",
            "fax_number": "361-993-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "EDWARD",
        "middle_name": "STANTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E1133",
            "primary": true
        },
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "TX",
            "license": "E1133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044729401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.