DR. JEFFERY BLAINE ITKIN (NPI# 1053321737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053321737 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY BLAINE ITKIN |
| Credential | M.D. |
| Practice Address |
5920 Saratoga Boulevard Suite 540 Corpus Christi TX 78414-4118 |
| Practice Telephone | 3618836030 |
| Practice Fax Number | 3618836442 |
| Mailing Telephone | 3618836030 |
| Mailing Fax Number | 3618836442 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | F6257 | TX | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 15006 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47068796900 | 05 |
| Street Address |
5920 SARATOGA BOULEVARD SUITE 540 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78414-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964452 | Fresenius Medical Care Corpus Christi Home, LLC | Clinic/Center | 5842 Yorktown Blvd, Corpus Christi, TX 78414 | 2019-04-03 |
| 1790267698 | Christine Rodriguez | Occupational Therapy Assistant | 3913 Eckner, Corpus Christi, TX 78414 | 2018-09-06 |
| 1588145643 | Teresita Elodia True | Physical Therapy Assistant | 3222 Hampton St, Corpus Christi, TX 78414 | 2018-08-27 |
| 1366923443 | Diana Solis | Occupational Therapy Assistant | 3801 Cimmaron Blvd, York Ave, Corpus Christi, TX 78414 | 2018-08-27 |
| 1780164335 | Marie Guardiola | Occupational Therapy Assistant | 6802 Jets Court, Corpus Christi, TX 78414 | 2018-08-14 |
| 1962905075 | Gabriel Shelton | Chiropractor | 5650 Woolridge Rd, Corpus Christi, TX 78414 | 2018-03-14 |
| 1154838779 | Maria Graciella Dizon Devera-ferrer | Physical Therapist | 6033 Maximus Drive, Corpus Christi, TX 78414 | 2018-01-04 |
| 1629594775 | Mildred Necesario Macasinag | Physical Therapist | 7805 Pavo Real St., Corpus Christi, TX 78414 | 2017-08-21 |
| 1790201176 | Christopher Muse | Counselor | 3126 Rodd Field Road, Corpus Christi, TX 78414 | 2017-08-17 |
| 1225579618 | Oksana Evans | Physician Assistant | 5920 Sarartoga Blvd, Ste 540, Corpus Christi, TX 78414 | 2017-03-17 |
| Find all providers in zip 78414 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225455579 | Roberto Espada Md Pa | Obstetrics & Gynecology | 5920 Saratoga Blvd Ste 160, Corpus Christi, TX 78414-4123 | 2014-03-25 |
| 1245403914 | Pedro S. Diaz,md Pa | Obstetrics & Gynecology | 5920 Saratoga Blvd, Ste. 480, Corpus Christi, TX 78414-4103 | 2008-04-02 |
| 1891812483 | Coastal Bend Womens Center | Obstetrics & Gynecology | 7121 S Padre Island Dr Ste 200, Corpus Christi, TX 78412-4940 | 2007-03-26 |
| 1295868883 | John Francis Visintine IIi | Obstetrics & Gynecology | 7121 South Padre Island Drive, Suite 118, Corpus Christi, TX 78412 | 2007-03-13 |
| 1710938378 | Driscoll Maternal & Fetal Physicians Group | Obstetrics & Gynecology | 1902 Morgan Ave, Corpus Christi, TX 78404-3554 | 2006-05-16 |
| 1225004732 | Noe Lira | Obstetrics & Gynecology | 4525 S Staples, Corpus Christi, TX 78411 | 2006-02-24 |
| 1124091178 | Thomas L Wilder | Obstetrics & Gynecology | 7121 S P I D, Suite 302, Corpus Christi, TX 78412 | 2006-02-09 |
| 1629054010 | Maryjoy Akunna Weathersby | Obstetrics & Gynecology | 5920 Saratoga Blvd #200, Corpus Christi, TX 78144 | 2005-12-19 |
| 1932182037 | Melissa Ann Chiasson | Obstetrics & Gynecology | 5920 Saratoga Blvd Ste 200, Corpus Christi, TX 78414-4105 | 2005-11-22 |
| 1740288141 | Alberto Enrique De La Guardia | Obstetrics & Gynecology | 2601 Hospital Blvd, Suite 216, Corpus Christi, TX 78405-1815 | 2005-07-08 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.