Organization Active NPI

Corrinna T. Tiongson, MD, PA

  • Pediatrics Physician
  • Edinburg, TX
National Provider Identifier
1497767230
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K1702 Issued in TX
Legal business name
CORRINNA T. TIONGSON, MD, PA
Practice address
2606 Cornerstone Blvd
Edinburg, TX 78539-9122
Phone
(956) 682-6860
Fax
(956) 682-8050
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Dr. Corrinna T Tiongson, M.D.
Title
President
Phone
(956) 682-6860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K1702 TX Primary

Addresses

Primary practice location

2606 Cornerstone Blvd
Edinburg, TX 78539-9122

Mailing address

2606 Cornerstone Blvd
Edinburg, TX 78539-9122
Phone (956) 682-6860

Other identifiers 2

IdentifierTypeStateIssuer
1206682-01MedicaidTX
1206682-03MedicaidTX

Other names 1

  • Children's Clinic at Cornerstone Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1007892Children'S Clinic at Cornerstone2606 Cornerstone Blvd, Edinburg, TX 78539Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Locations

2606 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 682-6860

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1497767230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399122",
            "telephone_number": "956-682-6860",
            "fax_number": "956-682-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399122",
            "telephone_number": "956-682-6860",
            "fax_number": "956-682-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRINNA T. TIONGSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "TIONGSON",
        "authorized_official_first_name": "CORRINNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-682-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1206682-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1206682-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Clinic at Cornerstone",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.