Active NPI
Ellis G Main DO PA
- Family Medicine Physician
- Corpus Christi, TX
National Provider Identifier
1851586853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J2176
- Legal business name
- ELLIS G MAIN DO PA
- Practice address
- 3022 McKinzie Rd
Corpus Christi, TX 78410-2628 - Phone
- (361) 241-6700
- NPI assigned
- Sep 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ellis Gerard Main, D.O.
- Title
- Owner
- Phone
- (361) 387-9233
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J2176 | TX | Primary |
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
3022 McKinzie Rd
Corpus Christi, TX 78410-2628
Mailing address
PO Box 10426
Corpus Christi, TX 78460-0426
Phone (361) 387-9233
Other practice location 1
327 W Avenue J
Robstown, TX 78380-2207
Phone (361) 387-9233
Other practice location 2
1210 Gregory St Ste 2
Taft, TX 78390-3045
Phone (361) 528-2595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149471801 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
327 W Avenue J
Robstown, TX 78380
Phone (361) 387-9233
1210 Gregory St
Ste 2
Taft, TX 78390
Phone (361) 528-2595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1851586853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10426",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784600426",
"telephone_number": "361-387-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 MCKINZIE RD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784102628",
"telephone_number": "361-241-6700"
}
],
"practiceLocations": [
{
"address_1": "327 W Avenue J",
"address_purpose": "LOCATION",
"city": "Robstown",
"state": "TX",
"postal_code": "783802207",
"country_code": "US",
"telephone_number": "361-387-9233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1210 Gregory St Ste 2",
"address_purpose": "LOCATION",
"city": "Taft",
"state": "TX",
"postal_code": "783903045",
"country_code": "US",
"telephone_number": "361-528-2595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ELLIS G MAIN DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-12",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "MAIN",
"authorized_official_first_name": "ELLIS",
"authorized_official_middle_name": "GERARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "361-387-9233",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "J2176",
"primary": true
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149471801",
"state": "TX"
}
],
"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 Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.