Active NPI
Emcc Corpus Midtown ER Professional PLLC
- Emergency Medicine Physician
- Corpus Christi, TX
National Provider Identifier
1861052722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- 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, 2024
- 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
- Michelle Newsom
- Title
- President
- Phone
- (469) 830-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 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 DirectoryLocations
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
- Nusiba Elsanousi
- Cheryl Elsik, APRN
- Patrick K. Elvin, M.D.
- Mary Elzner
- Emcc Corpus Midtown ER LLC (Surepoint Emergency Center Corpus Midtown)
- Emcc Corpus Pi ER Professional PLLC
- Emcc Corpus Urgent Care, LLC (Surepoint Urgent Care Corpus)
- Emcc Padre Island ER LLC (Surepoint Emergency Center Padre Island)
- Emcc Padre Island Urgent Care LLC (Surepoint Urgent Care Padre Island)
- Empire Health LLC
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.