Driscoll Maternal & Fetal Physicians Group

Organization Active NPI Obstetrics & Gynecology Physician · Corpus Christi, TX

NPI 1821041815 · NPPES record last updated Jul 9, 2008

Key facts

NPI
1821041815
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP
Practice address
5920 Saratoga Blvd
Siite 110
Corpus Christi, TX 78414-4103
Phone
(361) 694-1660
Fax
(361) 808-2131
NPI assigned
May 18, 2006
Organization subpart
No

Authorized official

Name
Derrick Parker
Title
President/Administrator
Phone
(361) 694-5081

Practitioners 1

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

National Provider Directory

Locations

5500 N Expressway
#77
Brownsville, TX 78526

2220 Haine Dr
Ste 46
Harlingen, TX 78550
Phone (956) 428-0897

2121 Pease St
Ste 604
Harlingen, TX 78550
Phone (361) 980-1244

6423 McPherson Rd
Laredo, TX 78041
Phone (956) 764-7000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X Yes

Addresses

Primary practice location

5920 Saratoga Blvd
Siite 110
Corpus Christi, TX 78414-4103

Mailing address

5920 Saratoga Blvd
Siite 110
Corpus Christi, TX 78414-4103
Phone (361) 694-1660

Other identifiers

IdentifierTypeStateIssuer
171695301MedicaidTX
0082MAOtherTXBC/BS
171695302MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2008.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1821041815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "SIITE 110",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-694-1660",
            "fax_number": "361-808-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "SIITE 110",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-694-1660",
            "fax_number": "361-808-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRISCOLL MATERNAL & FETAL PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "361-694-5081"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171695301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0082MA",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171695302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

All providers in Corpus Christi, TX · Obstetrics & Gynecology Physician in Texas

Sources for this page

Verify at the official NPI Registry.