Individual provider Active NPI

Mark Andrew Coates, P.A.

  • Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1932288644
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04556 Issued in TX
Practice address
601 Texan TRL
Suite 300
Corpus Christi, TX 78411-2549
Phone
(361) 854-0811
Fax
(361) 806-5040
NPI assigned
Nov 3, 2006
Last updated
Feb 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04556 TX Primary

Addresses

Primary practice location

601 Texan TRL
Suite 300
Corpus Christi, TX 78411-2549

Mailing address

1660 S Staples St
Ste 150
Corpus Christi, TX 78404-3156
Phone (361) 654-2064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000455 TX Practitioner - Physician Assistant 4284535980 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Corpus Christi Urology Group PLLC Current Accepting new patients
Bayside Emergency Pyhsicians, LLP Physician Assistant Past Accepting new patients
Emcare-Dtxemergency Physicians PLLC Physician Assistant Past Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients
Orthopedic Associates of Corpus Christi Past Accepting new patients
Abk Emergency Physicians PLLC Physician Assistant Past Accepting new patients
Gadsden Regional Primary Care LLC PastSince Jan 1, 1990 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: markcoates@ccug.medalliesdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1932288644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S STAPLES ST",
            "address_2": "STE 150",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043156",
            "telephone_number": "361-654-2064",
            "fax_number": "361-654-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL",
            "address_2": "SUITE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112549",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.