DR. JERROD DOUGLAS KING (NPI# 1689108896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689108896 |
| Entity Type | Individual |
| Full Name | DR. JERROD DOUGLAS KING |
| Credential | D.O. |
| Practice Address |
2606 Hospital Blvd 5 West Corpus Christi TX 78405-1833 |
| Practice Telephone | 3619026762 |
| Mailing Telephone | 3619026762 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R9793 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 E Main St, Alice, TX 783324261 | 3616618000 | 3616605112 |
| 1311 General Cavazos Blvd, Kingsville, TX 783637150 | 3615951661 | 3615955005 |
| 1500 E Houston St, Beeville, TX 781025312 | 3613542000 | 3613589322 |
| Street Address |
2606 HOSPITAL BLVD 5 WEST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78405-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850746 | Claire D Newton | Physician Assistant | 2606 Hospital Blvd, 7th Floor, Corpus Christi, TX 78405-1804 | 2005-06-01 |
| 1225531221 | Care Integrated Behavioral Health | Psychiatry & Neurology | 2606 Hospital Blvd, Corpus Christi, TX 78405-1833 | 2018-03-15 |
| 1700304516 | Katherine Marie Gallaga | Pharmacist | 2606 Hospital Blvd, Corpus Christi, TX 78405-1833 | 2017-08-31 |
| 1700303781 | Rose Cherian | Pharmacist | 2606 Hospital Blvd, Corpus Christi, TX 78405-1833 | 2017-08-29 |
| 1144755778 | Maricela Selene Pacheco | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd, Corpus Christi, TX 78405-1833 | 2017-04-20 |
| 1699209874 | Laura Kergosien Mcgrath | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405-1833 | 2017-04-14 |
| 1275066854 | Nicholas G Lockwood | Emergency Medicine | 2606 Hospital Blvd, Corpus Christi, TX 78405-1833 | 2017-04-10 |
| 1144753757 | Haley Dawn Sutherland | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405-1833 | 2017-04-10 |
| 1538692819 | Spencer Requa | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405-1833 | 2017-04-04 |
| 1255863841 | Jafar Ayyad | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd, Suite B, Corpus Christi, TX 78405-1833 | 2017-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083147938 | Joshua Abraham Betancourt | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd.,5 West, Corpus Christi, TX 78405 | 2017-04-07 |
| 1407303068 | Ray Fernandez | Independent Medical Examiner | 2610 Hospital Blvd, Medical Examiner Dept, Corpus Christi, TX 78405 | 2016-09-01 |
| 1255787776 | Paul David Crapo | Emergency Medicine | 2606 Hospital Blvd., 5 West, Corpus Christi, TX 78405 | 2016-05-13 |
| 1114314119 | Shery Malaty | Family Medicine | 2606 Hospital Blvd 5 West, Corpus Christi, TX 78405 | 2015-04-17 |
| 1003234493 | Alma S Rigona, M.d., P.a. | Pediatrics | 2418 Morgan Avenue, Corpus Christi, TX 78405 | 2014-04-02 |
| 1780022491 | Texas A&m Health Science Center-coastal Bend Health Education Center | Nutritionist | 4101 Old Brownsville Road, Hs1 Building, Suite 262, Corpus Christi, TX 78405 | 2013-06-05 |
| 1902240278 | Alberto Pasillas | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405 | 2013-04-17 |
| 1104142264 | Alainya Vollmering Tomanec | Emergency Medicine | 2606 Hospital Blvd # 5w, Corpus Christi, TX 78405 | 2010-04-14 |
| 1427298843 | E&l Construction | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2823 Coleman St, Corpus Christi, TX 78405 | 2009-02-25 |
| 1124205109 | Gulfshore Services Inc | Clinical Medical Laboratory | 401 South Padre Island Road, Suit 102, Corpus Christi, TX 78405 | 2008-01-22 |
| Find all providers in zip 78405 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1255787776 | Paul David Crapo | Emergency Medicine | 2606 Hospital Blvd., 5 West, Corpus Christi, TX 78405 | 2016-05-13 |
| 1538524723 | Kelly Campbell | Emergency Medicine | 6238 Boca Raton Cir, Corpus Christi, TX 78413-2636 | 2015-12-15 |
| 1902240278 | Alberto Pasillas | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405 | 2013-04-17 |
| 1174806335 | Marlene Morales | Emergency Medicine | 5750 Curtis Clark Dr Apt 737, Corpus Christi, TX 78412-4581 | 2011-09-23 |
| 1346521853 | Christion Gregory Rice | Emergency Medicine | 6725 Wood Duck Dr, Corpus Christi, TX 78413-2331 | 2011-08-30 |
| 1619256062 | Allan Christopher Simpson | Emergency Medicine | 522 Hancock Ave, #432, Corpus Christi, TX 78404-2342 | 2011-08-16 |
| 1518261445 | Annie Quysner | Emergency Medicine | 2606 Hospital Blvd Fl 3, Corpus Christi, TX 78405-1804 | 2011-01-06 |
| 1508174939 | T L C Medical Centers, LLC | Emergency Medicine | 7326 S Staples St, Corpus Christi, TX 78413-5509 | 2010-09-20 |
| 1104142264 | Alainya Vollmering Tomanec | Emergency Medicine | 2606 Hospital Blvd # 5w, Corpus Christi, TX 78405 | 2010-04-14 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78405 |
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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.