Corpus Christi Gastroenterology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CORPUS CHRISTI GASTROENTEROLOGY PLLC

Practice address

6421 Saratoga Blvd.
BLDG. 106
Corpus Christi, TX 78414-3480

Phone

(361) 991-7109

Fax

(361) 991-5213

NPI assigned

Aug 3, 2006

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Scott Mitchell, MDNPI 1184694697

Title

Owner

Phone

(361) 991-7109

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCAFBA

Practitioners 4

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.

• Robert Scott Mitchell, M.D.

  • Specialist
  • Corpus Christi, TX
  • NPI 1184694697
  Medicare reassignment Care Compare group NPD Authorized official
• Sonam Jaggi, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Corpus Christi, TX
  • NPI 1528486933
  Medicare reassignment Care Compare group NPD
• Jae Doo Kim, M.D.

  • Specialist
  • Corpus Christi, TX
  • NPI 1083685218
  Medicare reassignment Care Compare group NPD
• Timothy Dean Vanfrank, M.D.

  • Specialist
  • Corpus Christi, TX
  • NPI 1992775407
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1760490361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 SARATOGA BLVD.",
            "address_2": "BLDG. 106",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143480",
            "telephone_number": "361-991-7109",
            "fax_number": "361-991-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 SARATOGA BLVD.",
            "address_2": "BLDG. 106",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143480",
            "telephone_number": "361-991-7109",
            "fax_number": "361-991-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-991-7109",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2751",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080318101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Corpus Christi Family Medicine Center PA
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• Corpus Christi Heart Clinic, PLLC
• Corpus Christi Home Care, Inc. (One At Home -Corpus Christi)
• Corpus Christi Hospitalists, PLLC

• Specialist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.