Active NPI
Corpus Christi Surgery LTD
- Ambulatory Surgical Clinic/Center
- Corpus Christi, TX
National Provider Identifier
1609831296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008393
- Legal business name
- CORPUS CHRISTI SURGERY LTD
- Practice address
- 718 Elizabeth St
Corpus Christi, TX 78404-2212 - Phone
- (361) 882-3204
- Fax
- (361) 886-6322
- NPI assigned
- Apr 18, 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
- Jim Woolverton
- Title
- Administrator
- Phone
- (361) 882-3204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008393 | TX | Primary |
Addresses
Primary practice location
718 Elizabeth St
Corpus Christi, TX 78404-2212
Mailing address
718 Elizabeth St
Corpus Christi, TX 78404-2212
Phone (361) 882-3204
Other names 1
- Surgicare of Corpus Christi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 450785
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SURGICARE SPEC HOSP OF CORPUS CHRISTI
- Certification status
- Terminated Voluntary: merger or closure, Apr 29, 1999
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Mar 10, 1993
- Last certification
- Mar 10, 1993
- Beds
- 6
- Ownership / control type
- Private (for profit)
- Facility address
- 718 Elizabeth St
Corpus Christi, TX 78404
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192752000000",
"number": "1609831296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 ELIZABETH ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042212",
"telephone_number": "361-882-3204",
"fax_number": "361-886-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 ELIZABETH ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042212",
"telephone_number": "361-882-3204",
"fax_number": "361-886-6322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORPUS CHRISTI SURGERY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2007-10-19",
"status": "A",
"authorized_official_last_name": "WOOLVERTON",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "361-882-3204"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "008393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgicare of Corpus Christi",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Corpus Christi, TX
- Corpus Christi Regenerative Therapy PLLC
- Corpus Christi Rehabilitation Hospital LLC
- Corpus Christi Rejuvenation & Aesthetics PLLC
- Corpus Christi SCC LLC
- Corpus Christi SCC LLC (Alf)
- Corpus Christi Surgical Assistants, Inc.
- Corpus Christi Surgicare LTD
- Corpus Christi Tots & Teens, PA
- Corpus Christi Trauma & General Surgery
- Corpus Christi TX Caregiving LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.