NPIMap

Individual provider Active NPI

Paul David Kenyon, M.D.

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1720003148
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H8172 Issued in TX
Practice address
5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone
(361) 881-3000
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H8172 TX Primary

Addresses

Primary practice location

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100

Mailing address

PO Box 849874
Dallas, TX 75284-0001
Phone (866) 916-5259

Other identifiers 1

IdentifierTypeStateIssuer
1396764526MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Access Total Care, LLC Emergency Medicine CurrentSince Aug 14, 2019 Accepting new patients
Cibolo Emergency Physicians, PLLC PastSince May 1, 2020 Accepting new patients
Delmar Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Bayside Emergency Pyhsicians, LLP Emergency Medicine Past Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients
Brazos Valley ER, LLC PastSince May 1, 2020 Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Coastal ER VIII, LLC PastSince May 1, 2020 Accepting new patients

Locations

401 E King Ave
Kingsville, TX 78363
Phone (361) 221-2943

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1720003148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849874",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840001",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144100",
            "telephone_number": "361-881-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H8172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396764526",
            "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 Feb 20, 2008; 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.