Coastal ER I, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

COASTAL ER I, LLC

Practice address

5521 Saratoga Blvd
Ste 100
Corpus Christi, TX 78413-2843

Phone

(361) 980-0911

Fax

(361) 980-1459

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Kwon, MDNPI 1467469015

Title

LLC Board Member

Phone

(361) 980-0911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physicians Premier Emergency Room Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670146

Legal name

PHYSICIANS PREMIER EMERGENCY ROOM

Certification status

Terminated Voluntary: merger or closure, Jan 1, 2022

Provider type (POS)

Hospital – Short-term

Participating since

Apr 27, 2020

Last certification

Apr 27, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

5521 Saratoga Blvd Suite 100
Corpus Christi, TX 78413

Practitioners 1

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

• Christopher C Kwon, MD

  • Emergency Medicine Physician
  • Sugar Land, TX
  • NPI 1467469015
  NPD (past) Authorized official

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1902219348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6040",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666040",
            "telephone_number": "361-723-0226",
            "fax_number": "512-852-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 SARATOGA BLVD",
            "address_2": "STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132843",
            "telephone_number": "361-980-0911",
            "fax_number": "361-980-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ER I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "LLC BOARD MEMBER",
        "authorized_official_telephone_number": "361-980-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDSHS FSEC LICENSE",
            "identifier": "160125",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Premier Emergency Room",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physicians Premier Emergency Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coastal Community Direct Primary Care
• Coastal Counseling Services, LLC
• Coastal ER II, LLC
• Coastal ER IV LLC
• Coastal ER V, LLC
• Coastal Family Medicine Associates, PA
• Coastal First Assisting LLC

• Emergency Care Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.