Coastal ER VIII, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

COASTAL ER VIII, LLC

Practice address

20475 Highway 46 W Ste 100
Spring Branch, TX 78070-6147

Phone

(830) 438-6911

Fax

(512) 852-4625

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lonnie Schwirtlich, MD

Title

LLC Member

Phone

(830) 438-6911

Specialties & licenses 1

Addresses

Other names 1

• Physicians PremiER Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670231

Legal name

PHYSICIANS PREMIER EMERGENCY ROOM

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 1, 2020

Last certification

May 1, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

20475 Highway 46 W, Suite 100
Spring Branch, TX 78070

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul David Kenyon, M.D.

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1720003148
  NPD (past)

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1801319983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6844",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666844",
            "telephone_number": "361-884-2904",
            "fax_number": "512-852-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 HIGHWAY 46 W STE 100",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706147",
            "telephone_number": "830-438-6911",
            "fax_number": "512-852-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ER VIII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "SCHWIRTLICH",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "830-438-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians PremiER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy Sue Cline, RPH
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• Wesley Cooksey, DDS
• Jayne V Correa, RPH
• Daniela Cotter, PT

• Emergency Care Clinic/Center in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.