NPIMap

Organization Active NPI

Qualitysurg LLC

  • Surgery Physician
  • Corpus Christi, TX
National Provider Identifier
1689170284
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
QUALITYSURG LLC
Practice address
5929 Brightwood Dr
Corpus Christi, TX 78414-3029
Phone
(361) 929-5073
Fax
(361) 336-0217
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Authorized official

Name
Jacob D Skoruppa, LSANPI 1215113022
Title
Owner
Phone
(361) 876-6689

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00374 TX

Addresses

Primary practice location

5929 Brightwood Dr
Corpus Christi, TX 78414-3029

Mailing address

5929 Brightwood Dr
Corpus Christi, TX 78414-3029
Phone (361) 876-6689

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678579200000",
    "number": "1689170284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BRIGHTWOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143029",
            "telephone_number": "361-876-6689",
            "fax_number": "361-336-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 BRIGHTWOOD DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143029",
            "telephone_number": "361-929-5073",
            "fax_number": "361-336-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITYSURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "SKORUPPA",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-876-6689",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00374",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 12, 2023; 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.