Active NPI
Cancer Specialists of So TX
- Specialist
- Corpus Christi, TX
National Provider Identifier
1508926080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G8931
- Legal business name
- CANCER SPECIALISTS OF SO TX
- Practice address
- 1625 Rodd Field Rd
Corpus Christi, TX 78412-4926 - Phone
- (361) 993-3456
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Cooper
- Title
- Administrator
- Phone
- (361) 993-3456
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D7369 | TX | |
| Specialist | 174400000X | G8931 | TX | Primary |
| Specialist | 174400000X | L9212 | TX | |
| Specialist | 174400000X | M1217 | TX | |
| Hematology & Oncology Physician | 207RH0003X | D7369 | TX |
Addresses
Primary practice location
1625 Rodd Field Rd
Corpus Christi, TX 78412-4926
Mailing address
1625 Rodd Field Rd
Corpus Christi, TX 78412-4926
Phone (361) 993-3456
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 787700 | Other | TX | FIRST HEALTH |
| P00150979 | Other | TX | RAILROAD MEDICARE DR GONZ |
| 231964795 | Other | TX | TRICARE PRIME DR NASH |
| 133216505 | Medicaid | TX | |
| P00288207 | Other | TX | DR MAHMOOD RAILROAD MEDIC |
| 152824210 | Other | TX | TRICARE PRIME |
| 830002865 | Other | TX | DR NASH RAILROAD MEDICARE |
| 166693501 | Medicaid | TX | |
| 033804875 | Other | TX | TRICARE PRIME |
| 116419601 | Medicaid | TX | |
| 6543177 | Other | TX | CIGNA DR NASH |
| 175676901 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301961600000",
"number": "1508926080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 RODD FIELD RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784124926",
"telephone_number": "361-993-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 RODD FIELD RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784124926",
"telephone_number": "361-993-3456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANCER SPECIALISTS OF SO TX",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2011-04-05",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "361-993-3456"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "D7369",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "G8931",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "L9212",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "M1217",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "D7369",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "787700",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE DR GONZ",
"identifier": "P00150979",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PRIME DR NASH",
"identifier": "231964795",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133216505",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR MAHMOOD RAILROAD MEDIC",
"identifier": "P00288207",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PRIME",
"identifier": "152824210",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR NASH RAILROAD MEDICARE",
"identifier": "830002865",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166693501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PRIME",
"identifier": "033804875",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116419601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA DR NASH",
"identifier": "6543177",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175676901",
"state": "TX"
}
],
"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 Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.