Individual provider Active NPI

Sean Michael Hutzler, M.D.

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1780079319
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R2626 Issued in TX
Practice address
2606 Hospital Blvd
5 West
Corpus Christi, TX 78405
Phone
(361) 902-6570
Fax
(361) 881-1467
NPI assigned
Mar 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R2626 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd
5 West
Corpus Christi, TX 78405

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002001191 TX Practitioner - Emergency Medicine 1658646682 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians

Practice addresses (Care Compare)

1311 E Gen Cvazos Blvd
Kingsville, TX 78363-7150
Phone (361) 595-1661

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2626TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conner Emergency Medicine Associates, PA Emergency Medicine CurrentSince Feb 15, 2018 Accepting new patients
Nueces Emergency Medicine Associates PA Emergency Medicine CurrentSince May 27, 2018 Accepting new patients
Gulf Coast Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2606 Hospital Blvd
#5W
Corpus Christi, TX 78405
Phone (361) 902-6570

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

Interoperability endpoints

  • Direct secure messaging: sean.hutzler.1@31077.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1780079319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "address_2": "5 WEST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78405",
            "telephone_number": "361-902-6570",
            "fax_number": "361-881-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTZLER",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R2626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.