Shoreline Podiatry, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SHORELINE PODIATRY, PA

Practice address

613 Elizabeth St
Ste 513
Corpus Christi, TX 78404-2220

Phone

(361) 881-8313

Fax

(361) 881-8323

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald B Killian, DPMNPI 1205813565

Title

Podiatrist Owner

Phone

(361) 334-1136

Specialties & licenses 2

Addresses

Other identifiers 7

Locations

Practitioners 1

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

• Ronald Bernard Killian, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Havasu City, AZ
  • NPI 1205813565
  NPD (past) Authorized official

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1538198767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271416",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784271416",
            "telephone_number": "361-334-1136",
            "fax_number": "361-334-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST",
            "address_2": "STE 513",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042220",
            "telephone_number": "361-881-8313",
            "fax_number": "361-881-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE PODIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PODIATRIST OWNER",
        "authorized_official_telephone_number": "361-334-1136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD0599",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0048MQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174333801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "610351300",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174333802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174333803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "5451980001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hye Min Shin
• Shine Counseling and Consulting, LLC
• John Shireman
• Benjamin Shlomo, M.D.
• Edward Stanton Shoemaker, MD
• Shoreline Surgery Center LLP
• Mikayla Shorten, DO
• Delelah Shoubaki, LPC-ASSOCIATE
• Alok Shrestha, D.O.
• Cassandra Lee Shriver

• Podiatrist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.