NPIMap

Organization Active NPI

Pulse Surgical LLC

  • Surgical Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1710405246
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00374 Issued in TX
Legal business name
PULSE SURGICAL LLC
Practice address
5929 Brightwood Dr
Corpus Christi, TX 78414-3029
Phone
(361) 537-3209
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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
Ceo
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00374 TX Primary

Addresses

Primary practice location

5929 Brightwood Dr
Corpus Christi, TX 78414-3029

Mailing address

5929 Brightwood Dr
Corpus Christi, TX 78414-3029
Phone (361) 537-3209

Other names 1

  • Pulse Surgical LLC Other name

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": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710405246",
    "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": "361-537-3209"
        },
        {
            "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": "361-537-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULSE SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SKORUPPA",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-876-6689",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulse Surgical LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2022; 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.