Organization Active NPI

Emcc Corpus Midtown ER Professional PLLC

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1861052722
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMCC CORPUS MIDTOWN ER PROFESSIONAL PLLC
Practice address
4117 S Staples St Ste 140
Corpus Christi, TX 78411-5506
Phone
(361) 855-1121
Fax
(361) 500-4291
NPI assigned
Jun 13, 2019
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Michelle Newsom
Title
President
Phone
(469) 830-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

4117 S Staples St Ste 140
Corpus Christi, TX 78411-5506

Mailing address

2300 Matlock Rd Ste 35
Mansfield, TX 76063-5018
Phone (469) 830-8200

National Provider Directory

National Provider Directory

Locations

960 Ridgeview Dr
Ste 140114
Allen, TX 75013

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1861052722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MATLOCK RD STE 35",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635018",
            "telephone_number": "469-830-8200",
            "fax_number": "469-830-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 S STAPLES ST STE 140",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115506",
            "telephone_number": "361-855-1121",
            "fax_number": "361-500-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMCC CORPUS MIDTOWN ER PROFESSIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-830-8200"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "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 Sep 27, 2024; 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.