Individual provider Active NPI

Whitney Joseph Gonsoulin, MD

  • Maternal & Fetal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1972525723
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
H4008 Issued in TX
Practice address
7121 S Padre Island Dr
Suite 303
Corpus Christi, TX 78412-4938
Phone
(361) 980-1244
Fax
(361) 980-1248
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X H4008 TX Primary

Addresses

Primary practice location

7121 S Padre Island Dr
Suite 303
Corpus Christi, TX 78412-4938

Mailing address

7121 S Padre Island Dr
Suite 303
Corpus Christi, TX 78412-4938
Phone (361) 980-1244

Other identifiers 3

IdentifierTypeStateIssuer
1328871MedicaidLA
173840303OtherTXMEDICAID GROUP
133906108MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
H4008TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Texas Physicians Network Inc Maternal & Fetal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1972525723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR",
            "address_2": "SUITE 303",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124938",
            "telephone_number": "361-980-1244",
            "fax_number": "361-980-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR",
            "address_2": "SUITE 303",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124938",
            "telephone_number": "361-980-1244",
            "fax_number": "361-980-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSOULIN",
        "first_name": "WHITNEY",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "H4008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1328871",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "173840303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133906108",
            "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 Dec 8, 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.

Verify at the official NPI Registry.