SOUTH PADRE ISLAND PEDIATRIC CENTER (NPI# 1134374713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134374713 |
| Entity Type | Organization |
| Organization Name | SOUTH PADRE ISLAND PEDIATRIC CENTER |
| Other Organization Name | SOUTH PADRE ISLAND PEDIATRIC-MATHIS |
| Practice Address |
220 E. St. Mary's Street Mathis TX 78368 |
| Practice Telephone | 3617581984 |
| Practice Fax Number | 3618515193 |
| Mailing Telephone | 3615475100 |
| Mailing Fax Number | 3618515193 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | MS. SANDY GONZALEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 3618544626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
G6791 | TX | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
E4618 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127051405 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTH PADRE ISLAND PEDIATRIC-MATHIS | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548450190 | South Padre Island Pediatric Center | Specialist | 3845 S Spid Dr, Corpus Christi, TX 78415-2919 | 2007-07-30 |
| 1720233687 | South Padre Island Pediatric Center | Clinic/Center | 301 S San Patricio St, Sinton, TX 78387-2432 | 2008-11-19 |
| Street Address |
220 E. ST. MARY'S STREET |
| City | MATHIS |
| State | TX |
| Zip Code | 78368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942769351 | Sabrina Ann Gonzales | Specialist/Technologist | 602 E San Patricio Ave, Mathis, TX 78368 | 2019-03-15 |
| 1629500897 | Little Bit of Sunshine Adult Center | Clinic/Center | 108 E San Patricio Ave, Mathis, TX 78368 | 2017-03-28 |
| 1811087000 | William Angustus Henderson | Dentist | 1312 E San Patricio, Mathis, TX 78368 | 2006-10-16 |
| 1780775668 | Lakeview Home Care Inc | Home Health | 307 East San Patricio, Mathis, TX 78368 | 2006-09-27 |
| 1083815534 | Mathis I.s.d. | Local Education Agency (LEA) | 602 E. San Patricio Avenue, Mathis, TX 78368-1179 | 2007-05-31 |
| 1104329713 | Jamie Hartnett | Registered Nurse | 305 Willow Dr, Mathis, TX 78368-1539 | 2018-03-10 |
| 1750377073 | Mathis Health Care Center Ltd. Co | Skilled Nursing Facility | 1220 Loop 459, Mathis, TX 78368-1804 | 2005-09-22 |
| 1124508932 | Melinda Ortiz-flores | Physical Therapy Assistant | 1220 Loop 459, Mathis, TX 78368-1804 | 2018-08-21 |
| 1669952669 | Nichole Marie Alvarado | Occupational Therapy Assistant | 1220 Loop 459, Mathis, TX 78368-1804 | 2018-08-19 |
| 1083002893 | Uvalde County Hospital Authority | Skilled Nursing Facility | 1220 Loop 459, Mathis, TX 78368-1804 | 2014-12-31 |
| Find all providers in zip 78368 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932280542 | Hartman Community Clinic Pa | Clinic/Center | 103 S South St, Mathis, TX 78368-2604 | 2006-10-18 |
| 1023641545 | Donna Karen Groff Pllc | Clinic/Center | 1205 E San Patricio Ave, Mathis, TX 78368-2402 | 2020-02-13 |
| 1821224098 | Mathis Medical Center Pa | Clinic/Center | 304 E San Patricio Ave, Mathis, TX 78368-2350 | 2009-06-02 |
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|---|---|---|---|---|
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| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
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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.