ONCOLOGY SERVICES OF CORPUS CHRISTI LLC (NPI# 1609064971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609064971 |
Entity Type | Organization |
Organization Name | ONCOLOGY SERVICES OF CORPUS CHRISTI LLC |
Other Organization Name | DBA CORPUS CHRISTI CANCER CENTER |
Practice Address |
1625 Rodd Field Road Suite 200 Corpus Christi TX 78412 |
Practice Telephone | 3619933456 |
Practice Fax Number | 3619924198 |
Mailing Telephone | 3619933456 |
Mailing Fax Number | 3619924198 |
Enumeration Date | 2007-10-11 |
Last Update Date | 2008-02-04 |
Authorized Official Name | LAVELLE HARDIN (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 6153448203 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
dba Corpus Christi Cancer Center | Doing Business As Name - Organization |
Street Address |
1625 RODD FIELD ROAD SUITE 200 |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063029775 | Cuong Cao | Pharmacist | 1301 Airline Rd, Corpus Christi, Corpus Christi, TX 78412 | 2020-09-26 |
1427512995 | Joshni John | Specialist/Technologist | 6500 Ocean Drive, Corpus Christi, TX 78412 | 2019-01-29 |
1881193183 | Southside Specialty Surgical Center LLC | Clinic/Center | 6005 Holly Rd, Corpus Christi, TX 78412 | 2018-02-02 |
1689181919 | Avacorte Home Health | Home Health | 5206 Mill Wood Dr, Corpus Christi, TX 78412 | 2018-01-09 |
1215458245 | Ashley Kerr | Dentist | 6500 S.p.i.d., Ste 12, Corpus Christi, TX 78412 | 2017-06-29 |
1285155242 | Adan Lorenzo Narvaez | Physical Therapist | 2033 Airline Rd Ste E7, Corpus Christi, TX 78412 | 2017-06-29 |
1467992784 | Harrison Aj Hall | Prevention Professional | 2006 Airline Rd Apt 516, Corpus Christi, TX 78412 | 2017-03-06 |
1922468156 | Coastal Er Iv LLC | Clinic/Center | 7750 South Padre Island Drive, Corpus Christi, TX 78412 | 2016-03-01 |
1508282823 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7798 S. Padre Island Drive, Corpus Christi, TX 78412 | 2014-03-11 |
1215362553 | Michael Anthony Flores | Nurse Practitioner | 7101 S Pade Island, Corpus Christi, TX 78412 | 2013-09-05 |
Find all providers in zip 78412 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427249614 | Michael Wayne Michell | Radiology | 5742 Spohn Dr, Corpus Christi, TX 78414-4116 | 2007-08-05 |
1154427813 | Jon Thomas Watson | Radiology | 14838 Cobo De Bara Cir, Corpus Christi, TX 78418-6908 | 2006-09-16 |
1558311340 | Radiology Associates LLP | Radiology | 1812 S. Alameda, Corpus Christi, TX 78404 | 2006-05-11 |
1538123138 | Jeffrey M Bikle | Radiology | 3226 Reid Dr, Corpus Christi, TX 78404-2552 | 2006-04-12 |
1972586543 | Yuming Yin | Radiology | 4444 Corona Dr, Suite 200, Corpus Christi, TX 78411-4324 | 2005-11-28 |
1255312633 | Corpus Christi Radiology | Radiology | 3554 S Alameda St, Corpus Christi, TX 78411-1722 | 2005-11-11 |
1790770261 | Parina Gupta Cho | Radiology | 7033 Adcote Dr, Corpus Christi, TX 78413-5329 | 2005-09-12 |
1720072408 | Alexander T Aitken | Radiology | 3226 S Alameda St, Corpus Christi, TX 78404-2508 | 2005-09-08 |
1629073887 | Richard P. Chepey | Radiology | 1812 S Alameda St, Corpus Christi, TX 78404-2933 | 2005-06-15 |
1114366416 | Jon Thomas Watson Md Pa | Radiology | 14838 Cobo De Bara Cir, Corpus Christi, TX 78418-6908 | 2013-06-19 |
Find all providers in CORPUS CHRISTI |
City | CORPUS CHRISTI |
Zip Code | 78412 |
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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.