Active NPI
Thomas Wendell Dorrell Jr., MD
- Family Medicine Physician
- Corpus Christi, TX
National Provider Identifier
1881674141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J4090
- Practice address
- 14433 S Padre Island Dr
Corpus Christi, TX 78418-5938 - Phone
- (361) 949-1900
- Fax
- (361) 949-2005
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J4090 | TX | Primary |
Addresses
Primary practice location
14433 S Padre Island Dr
Corpus Christi, TX 78418-5938
Mailing address
14433 S Padre Island Dr
Corpus Christi, TX 78418-5938
Phone (361) 949-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R0180 | Other | TX | BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Emergency Care la Vernia LLC | Past | Accepting new patients | |
| La Vernia Erl Acquisition Partners LLC | Past | Accepting new patients | |
| Tom W Dorrell Jr MD PA | Family Medicine | Past | Accepting new patients |
| Thomas Spann Clinic, PA | Past | Accepting new patients | |
| Thomas-Spann Clinic, P.a. | Past | Accepting new patients | |
| TLC Corpus Emergency Care LLC | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Care Clinic/Center
- La Vernia, TX
- NPI 1568835569
-
- Emergency Care Clinic/Center
- La Vernia, TX
- NPI 1225825946
-
- General Practice Physician
- Corpus Christi, TX
- NPI 1922084227
-
- Clinical Medical Laboratory
- Corpus Christi, TX
- NPI 1013994847
-
- Emergency Care Clinic/Center
- Corpus Christi, TX
- NPI 1720483829
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1073685822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1881674141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14433 S PADRE ISLAND DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784185938",
"telephone_number": "361-949-1900",
"fax_number": "361-949-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14433 S PADRE ISLAND DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784185938",
"telephone_number": "361-949-1900",
"fax_number": "361-949-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORRELL",
"first_name": "THOMAS",
"middle_name": "WENDELL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J4090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "8R0180",
"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 Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.