Individual provider Active NPI

Paxton John Longwell, M.D.

  • Neurology Physician
  • Corpus Christi, TX
National Provider Identifier
1518074095
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J0078 Issued in TX
Practice address
3301 S Alameda St Ste 501
Corpus Christi, TX 78411-1871
Phone
(361) 853-0867
Fax
(361) 853-0887
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J0078 TX Primary

Addresses

Primary practice location

3301 S Alameda St Ste 501
Corpus Christi, TX 78411-1871

Mailing address

3301 S Alameda St Ste 501
Corpus Christi, TX 78411-1871
Phone (361) 853-0867

Other identifiers 1

IdentifierTypeStateIssuer
099548202MedicaidTX

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
I20070502000674 TX Practitioner - Neurology 4981624731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Medical School at Houston, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corpus Christi NeurologyGroup PAC ID 1850311606, 4 clinicians

Practice addresses (Care Compare)

3301 S Alameda St
Suite 501
Corp Christi, TX 78411-1871
Phone (361) 853-0867

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Christi Neurology Neurology CurrentSince Apr 21, 1999 Accepting new patients
Bay Area Sleep Evaluation Center, LLC CurrentSince Aug 3, 2006 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

3301 S Alameda St
Ste 501
Corpus Christi, TX 78411
Phone (361) 853-0867

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518074095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST STE 501",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111871",
            "telephone_number": "361-853-0867",
            "fax_number": "361-853-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST STE 501",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111871",
            "telephone_number": "361-853-0867",
            "fax_number": "361-853-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWELL",
        "first_name": "PAXTON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J0078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099548202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.