Organization Active NPI

Corpus Christi Podiatry Associates

Doing business as Corpus Christi Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Corpus Christi, TX
National Provider Identifier
1760497408
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1096 Issued in TX
Legal business name
CORPUS CHRISTI PODIATRY ASSOCIATES
Doing business as
Corpus Christi Podiatry
Practice address
2601 Hospital Blvd
Suite 211
Corpus Christi, TX 78405-1815
Phone
(361) 883-5955
Fax
(361) 882-3365
NPI assigned
Jul 30, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Dr. John Robert Gouin, DPMNPI 1790766442
Title
President
Phone
(361) 883-5955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1096 TX Primary

Addresses

Primary practice location

2601 Hospital Blvd
Suite 211
Corpus Christi, TX 78405-1815

Mailing address

2601 Hospital Blvd
Suite 211
Corpus Christi, TX 78405-1815
Phone (361) 883-5955

Other identifiers 2

IdentifierTypeStateIssuer
8A9760OtherTXBC/BS
1499300OtherTXAETNA

Other names 1

  • Corpus Christi Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

2601 Hospital Blvd
Ste 211
Corpus Christi, TX 78405
Phone (361) 883-5955

5920 Saratoga Blvd
Ste 460
Corpus Christi, TX 78414
Phone (361) 693-5362

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1760497408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HOSPITAL BLVD",
            "address_2": "SUITE 211",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051815",
            "telephone_number": "361-883-5955",
            "fax_number": "361-882-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOSPITAL BLVD",
            "address_2": "SUITE 211",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051815",
            "telephone_number": "361-883-5955",
            "fax_number": "361-882-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI PODIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "GOUIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-883-5955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8A9760",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1499300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corpus Christi Podiatry",
            "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 Feb 4, 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.