Organization Active NPI

Poda Ortho and Rehab AIDS Inc

  • Durable Medical Equipment & Medical Supplies
  • Corpus Christi, TX
National Provider Identifier
1801940226
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PODA ORTHO AND REHAB AIDS INC
Practice address
5109 Bromley Dr
Corpus Christi, TX 78413
Phone
(361) 442-8004
Fax
(361) 994-1755
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jim A Wagner
Title
Vice President
Phone
(361) 877-1036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5109 Bromley Dr
Corpus Christi, TX 78413

Mailing address

PO Box 2444
Corpus Christi, TX 78403-2444
Phone (361) 888-8221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801940226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2444",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784032444",
            "telephone_number": "361-888-8221",
            "fax_number": "361-994-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 BROMLEY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78413",
            "telephone_number": "361-442-8004",
            "fax_number": "361-994-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODA ORTHO AND REHAB AIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "361-877-1036",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.