Coastal Physician Group PA

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

COASTAL PHYSICIAN GROUP PA

Practice address

345 S Water St
Corpus Christi, TX 78401-2819

Phone

(361) 500-0600

Fax

(361) 500-0571

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Enrique Cisneros Ramos Jr., DO

Title

Ceo

Phone

(361) 883-8887

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1770188658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 SARATOGA BLVD",
            "address_2": "SUITE F #148",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142492",
            "telephone_number": "361-883-8887",
            "fax_number": "361-792-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S WATER ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784012819",
            "telephone_number": "361-500-0600",
            "fax_number": "361-500-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICIAN GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "CISNEROS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-883-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MEDHOST",
            "affiliation": "N",
            "address_1": "345 S Water St",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784012819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WELLSKY",
            "affiliation": "N",
            "endpointDescription": "CLOUD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "345 S Water St",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784012819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Coastal Physicians ER, PLLC
• Coastal Plains Hospital, LP
• Coastal Plains Hospital, LP
• Coastal Plains Hospital, LP
• Coastal Wellness, LLC

• Hospitalist Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.