NPIMap

Organization Active NPI

Abdominal Specialists of South Texas, LLP

  • Specialist
  • Corpus Christi, TX
National Provider Identifier
1730159104
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ABDOMINAL SPECIALISTS OF SOUTH TEXAS, LLP
Practice address
718 Elizabeth St
Floor 3
Corpus Christi, TX 78404-2212
Phone
(361) 884-2858
Fax
(361) 879-9015
NPI assigned
Jan 26, 2006
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Ms. Belinda Chism
Title
Adminstrator
Phone
(361) 884-2858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

718 Elizabeth St
Floor 3
Corpus Christi, TX 78404-2212

Mailing address

718 Elizabeth St
Floor 3
Corpus Christi, TX 78404-2212
Phone (361) 884-2858

Other identifiers 1

IdentifierTypeStateIssuer
112280601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050511000919 TX Part B Supplier - Clinic/Group Practice 4385684018 Receives reassigned benefits from 23 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory
Tax ID family
Abdominal Specialists of South Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1301 Ocean Dr
Corpus Christi, TX 78404
Phone (361) 884-2858

718 Elizabeth St
Fl 3
Corpus Christi, TX 78404
Phone (361) 884-2858

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1730159104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 ELIZABETH ST",
            "address_2": "FLOOR 3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042212",
            "telephone_number": "361-884-2858",
            "fax_number": "361-879-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 ELIZABETH ST",
            "address_2": "FLOOR 3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042212",
            "telephone_number": "361-884-2858",
            "fax_number": "361-879-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDOMINAL SPECIALISTS OF SOUTH TEXAS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "CHISM",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "361-884-2858",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112280601",
            "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 Nov 16, 2016; 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.