Active NPI
South Texas Comprehensive Cancer Centers PLLC
- Hematology & Oncology Physician
- Corpus Christi, TX
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- J6958
- Legal business name
- SOUTH TEXAS COMPREHENSIVE CANCER CENTERS PLLC
- Practice address
- 1205 S 19TH St
Corpus Christi, TX 78405-1527 - Phone
- (361) 885-0390
- Fax
- (361) 904-0178
- NPI assigned
- May 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamad Ayman Ghraowi, MD
- Title
- Medical Director
- Phone
- (361) 885-0390
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | J6958 | TX | Primary |
Addresses
Primary practice location
1205 S 19TH St
Corpus Christi, TX 78405-1527
Mailing address
PO Box 5407
Corpus Christi, TX 78465-5407
Phone (361) 885-0390
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053303255 | Other | TX | NPI |
| 1477545655 | Other | TX | NPI |
| 1942201439 | Other | TX | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
2510 E Main St
Ste 110
Alice, TX 78332
Phone (361) 396-4371
1663 W Wheeler Ave
Ste B
Aransas Pass, TX 78336
Phone (361) 248-7938
1311 E General Cavazos Blvd
Ste 205A
Kingsville, TX 78363
Phone (361) 592-5555
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Transplant Surgery Physician
- Richmond, TX
- NPI 1912944372
-
- Radiation Oncology Physician
- Corpus Christi, TX
- NPI 1508813247
-
- Hematology & Oncology Physician
- San Antonio, TX
- NPI 1447469150
-
- Hematology & Oncology Physician
- Victoria, TX
- NPI 1053303255
-
- Physician Assistant
- Corpus Christi, TX
- NPI 1265495683
-
- Hematology & Oncology Physician
- Gilbert, AZ
- NPI 1275704892
-
- Hematology & Oncology Physician
- Toledo, OH
- NPI 1477545655
-
- Radiation Oncology Physician
- Scottsdale, AZ
- NPI 1871608885
-
- Therapeutic Radiology Physician
- Lake City, FL
- NPI 1487646030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351555200000",
"number": "1740236207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5407",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784655407",
"telephone_number": "361-885-0390",
"fax_number": "361-904-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S 19TH ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784051527",
"telephone_number": "361-885-0390",
"fax_number": "361-904-0178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH TEXAS COMPREHENSIVE CANCER CENTERS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2012-10-30",
"status": "A",
"authorized_official_last_name": "GHRAOWI",
"authorized_official_first_name": "MOHAMAD",
"authorized_official_middle_name": "AYMAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "361-885-0390",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "J6958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1053303255",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1477545655",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1942201439",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
- South Coast Operative Assistants
- South Padre Island Pediatric Center
- South Texas Brain & Spine Institute, P.a.
- South Texas Cleft Palate and Craniofacial Anomalies Team
- South Texas Clinical Laboratory LTD
- South Texas Cpap
- South Texas Dermatology PLLC
- South Texas Dermatology PLLC
- South Texas Emergency Physicians, PLLP
- South Texas Endocrinology & Metabolism Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.