Organization Active NPI

Shoreline Surgery Center LLP

  • Ambulatory Surgical Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1730369802
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008393 Issued in TX
Legal business name
SHORELINE SURGERY CENTER LLP
Doing business as
CHRISTUS Spohn-Surgicare of Corpus Christi
Practice address
718 Elizabeth St
Corpus Christi, TX 78404-2212
Phone
(361) 882-3204
Fax
(361) 886-6322
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Authorized official

Name
Peter Blach
Title
Authorized Official
Phone
(713) 343-9083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008393 TX Primary

Addresses

Primary practice location

718 Elizabeth St
Corpus Christi, TX 78404-2212

Mailing address

718 Elizabeth St
Corpus Christi, TX 78404-2212
Phone (361) 882-3204

Other identifiers 3

IdentifierTypeStateIssuer
HH1218OtherTXBCBS
189160801MedicaidTX
P00465833OtherTXMEDICARE RR

Other names 1

  • CHRISTUS Spohn-Surgicare of Corpus Christi Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Shoreline Surgery Center LLP Dba Christus Spohn Surgicare of Corpus ChristiCCN 45C0001250
Medicare certification status
Terminated Voluntary: merger or closure, Nov 2, 2025From the Provider of Services file

National Provider Directory

National Provider Directory

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Locations

718 Elizabeth St
Fl 2
Corpus Christi, TX 78404

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1730369802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 ELIZABETH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042212",
            "telephone_number": "361-882-3204",
            "fax_number": "361-886-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 ELIZABETH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042212",
            "telephone_number": "361-882-3204",
            "fax_number": "361-886-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE SURGERY CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "BLACH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-343-9083"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH1218",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189160801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00465833",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CHRISTUS Spohn-Surgicare of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHRISTUS Spohn-Surgicare of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.