Organization Active NPI

Surgical Consultants PA

  • Trauma Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1669592242
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
SURGICAL CONSULTANTS PA
Practice address
6210 Wooldridge Rd Ste a
Corpus Christi, TX 78414-2528
Phone
(361) 887-9928
Fax
(361) 887-9947
NPI assigned
Mar 29, 2007
Last updated
May 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Jimie Owsley, MDNPI 1730115270
Title
President
Phone
(361) 887-9928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X NU Primary

Addresses

Primary practice location

6210 Wooldridge Rd Ste a
Corpus Christi, TX 78414-2528

Mailing address

PO Box 751
Corpus Christi, TX 78403-0751
Phone (361) 887-9928

Other identifiers 1

IdentifierTypeStateIssuer
186466201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070626000583 TX Part B Supplier - Clinic/Group Practice 6103925508 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

600 Elizabeth St
Ste 101
Corpus Christi, TX 78404

6210 Wooldridge Rd
Ste A
Corpus Christi, TX 78414
Phone (361) 887-9928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1669592242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784030751",
            "telephone_number": "361-887-9928",
            "fax_number": "361-887-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 WOOLDRIDGE RD STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142528",
            "telephone_number": "361-887-9928",
            "fax_number": "361-887-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "OWSLEY",
        "authorized_official_first_name": "JIMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-887-9928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186466201",
            "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 May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.