DR. PETER MICHAEL BAUTISTA MANGUBAT (NPI# 1235427998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235427998 |
Entity Type | Individual |
Full Name | DR. PETER MICHAEL BAUTISTA MANGUBAT |
Credential | MD |
Practice Address |
3533 S Alameda St Corpus Christi TX 78411-1721 |
Practice Telephone | 3616945445 |
Mailing Telephone | 3616945445 |
Enumeration Date | 2011-07-15 |
Last Update Date | 2016-10-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | TRN16621 | FL | Allopathic & Osteopathic Physicians |
Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
R0230705 | TX | Allopathic & Osteopathic Physicians |
N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME113838 | FL | Allopathic & Osteopathic Physicians |
Street Address |
3533 S ALAMEDA ST |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78411-1721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558363671 | Meera Gangadharan | Anesthesiology | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2005-06-01 |
1629684816 | Guyu Li | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-09-22 |
1972113579 | Kenechukwu Okechukwu Aronu | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-08-07 |
1053939488 | Obinna Chijindu Ubah | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-07-13 |
1952929861 | Jordi Friese | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-07-07 |
1053936971 | Alliskair Anibal Ortiz | Clinic/Center | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-16 |
1811512767 | Maria Alejandra Castillo Sanchez | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-16 |
1609490630 | Kassandra Madore | Audiologist | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-05 |
1982228607 | Vera Whole Health Wa, PC | Clinic/Center | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-05-29 |
1811510563 | Jeffrey Joon Taek Lee | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-05-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
Find all providers in zip 78411 |
Taxonomy Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932283678 | Kevin Patrick Schooler | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-10-25 |
1760443451 | John K Maher | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-03-31 |
1457312191 | Ramon J Rivera | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-03-31 |
1952362105 | Karl L Serrao | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093294654 | Elva Linda Pereida | Pediatrics | 107 Palisades, Portland, TX 78374-4144 | 2018-08-14 |
1083156905 | Pediatric Immediate Care of Texas, Pllc | Pediatrics | 3831 E League City Pkwy, Suite A, League City, TX 77573-7155 | 2016-11-09 |
1053730226 | Jaime Conrado Silva | Pediatrics | 1911 Holcombe Blvd Apt 1326, Houston, TX 77030-4189 | 2014-04-15 |
1144574591 | Amy Sharon Arrington | Pediatrics | 6621 Fannin, W6006, Houston, TX 77030 | 2012-11-07 |
1306118013 | Corey Chartan | Pediatrics | One Baylor Plaza, Mail Stop W6-006, Pediatric Critical Care, Houston, TX 77070 | 2012-01-27 |
1306172945 | Omar S Arrieta | Pediatrics | Scott & White 4 South Pedi Administration Rm 431, 2401 South 31st Street, Temple, TX 76508-0001 | 2009-11-01 |
1396971206 | Kevin Matthew Roy | Pediatrics | 6621 Fannin Street, Wt6-006, Texas Children's Hospital, Pediatrics Intensive Care, Houston, TX 77030 | 2009-06-05 |
1609036342 | Loay Y Abdulsamad | Pediatrics | 11322 Bucks Bridge Ln, Sugar Land, TX 77478-0915 | 2008-06-16 |
1396911715 | Aarti C Bavare | Pediatrics | 6621 Fannin, Wt6-006, Houston, TX 77030 | 2008-05-06 |
1982726741 | Terry Lee Furgiuele | Pediatrics | 4600 Ashville Pl, Amarillo, TX 79119-6452 | 2007-04-04 |
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City | CORPUS CHRISTI |
Zip Code | 78411 |
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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.