Active NPI
Eleanor Travis, M.D.
- Anesthesiology Physician
- Corpus Christi, TX
National Provider Identifier
1609835271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- L8984
- Practice address
- 6130 Parkway Dr
Corpus Christi, TX 78414-2455 - Phone
- (361) 883-6211
- Fax
- (361) 882-4891
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | L8984 | TX | Primary |
Addresses
Primary practice location
6130 Parkway Dr
Corpus Christi, TX 78414-2455
Mailing address
4455 S Padre Island Dr Ste 11
Corpus Christi, TX 78411-5163
Phone (361) 883-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1656902-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8984 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Anesthesiology Group PLLC | Anesthesiology | Past | Accepting new patients |
| Victoria Emergency Associates LLC | Past | Accepting new patients | |
| Austin Anesthesiology Group, PLLC | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1407917164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1609835271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 S PADRE ISLAND DR STE 11",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784115163",
"telephone_number": "361-883-6211",
"fax_number": "361-882-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130 PARKWAY DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784142455",
"telephone_number": "361-883-6211",
"fax_number": "361-882-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "ELEANOR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "L8984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1656902-02",
"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 Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.