GULF COAST NEONATOLOGY, PLLC (NPI# 1801303979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801303979 |
| Entity Type | Organization |
| Organization Name | GULF COAST NEONATOLOGY, PLLC |
| Practice Address |
5920 Saratoga Blvd Ste 450 Corpus Christi TX 78414-4124 |
| Practice Telephone | 3614633696 |
| Mailing Telephone | 3616928550 |
| Mailing Fax Number | 3613566681 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2020-03-14 |
| Authorized Official Name | DR. AARON ANDREW REEVES (MANAGER) |
| Authorized Official Telephone | 3616928550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
M7564 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1700085123 | 05 | |
| GA | 1255370573 | 05 |
| Street Address |
5920 SARATOGA BLVD STE 450 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78414-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558989814 | New Life Direct Primary Care Pllc | Clinic/Center | 5920 Saratoga Blvd Ste 450, Corpus Christi, TX 78414-4124 | 2020-07-13 |
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073573002 | Alfonso M Prado | Pediatrics | 5913 Patton St, Corpus Christi, TX 78414-2429 | 2006-03-24 |
| 1225271281 | Julio C. Godoy | Pediatrics | 5913 Patton St, Corpus Christi, TX 78414-2429 | 2009-04-07 |
| 1104900570 | Drifa Freysdottir | Pediatrics | 3533 S Alameda St, Driscoll Children's Hospital, Dept of Neonatology, Corpus Christi, TX 78411-1721 | 2006-10-24 |
| 1508968280 | Jie Guo | Pediatrics | 5913 Patton St, Corpus Christi, TX 78414-2429 | 2006-09-02 |
| 1952339186 | Raymond Fabri Castro | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-06-28 |
| 1114971538 | Mohammad Zia-ullah | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-05-20 |
| 1871545830 | Patricia Lynn Ramsay | Pediatrics | 3533 S Alameda St, Neonatology Office, 3rd Floor, Corpus Christi, TX 78411-1721 | 2006-05-17 |
| 1811946742 | Neonatology Consultants of Corpus Christi | Pediatrics | 5913 Patton St, Corpus Christi, TX 78414-2429 | 2006-05-08 |
| 1639131717 | Jyothi Swarup | Pediatrics | 5913 Patton St, Corpus Christi, TX 78414-2429 | 2006-04-04 |
| 1407816887 | Miguel Angel Deleon-salinas | Pediatrics | 5913 Patton St, Corpus Christi, TX 78414 | 2006-03-28 |
| 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.