NPIMap

Organization Active NPI

WCST LLC

Doing business as Womens Clinic of South Texas

  • Obstetrics & Gynecology Physician
  • Edinburg, TX
National Provider Identifier
1699334706
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WCST LLC
Doing business as
Womens Clinic of South Texas
Practice address
910 S Closner Blvd
Edinburg, TX 78539-5658
Phone
(956) 380-3441
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Padraic Chisholm, MDNPI 1134562416
Title
Owner
Phone
(956) 380-4441

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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

910 S Closner Blvd
Edinburg, TX 78539-5658

Mailing address

910 S Closner Blvd
Edinburg, TX 78539-5658
Phone (956) 380-3441

Other names 1

  • WOMENS CLINIC OF SOUTH TEXAS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719002997 TX Part B Supplier - Clinic/Group Practice 6305172974 Receives reassigned benefits from 3 practitioners
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

910 S Closner Blvd
Edinburg, TX 78539
Phone (956) 380-3441

Practitioners & affiliated clinicians

Practitioners 6

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": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1699334706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395658",
            "telephone_number": "956-380-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395658",
            "telephone_number": "956-380-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "PADRAIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-380-4441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMENS CLINIC OF SOUTH TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.