CC DOCTORS CENTER PORTLAND, PLLC (NPI# 1821544396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821544396 |
| Entity Type | Organization |
| Organization Name | CC DOCTORS CENTER PORTLAND, PLLC |
| Other Organization Name | THE DOCTORS CENTER URGENT CARE |
| Practice Address |
125 Northshore Blvd Portland TX 78374-4206 |
| Mailing Address |
4637 S Padre Island Dr Corpus Christi TX 78411-4413 |
| Practice Telephone | 3618526824 |
| Practice Fax Number | 3618146828 |
| Mailing Telephone | 3618526824 |
| Mailing Fax Number | 3618146828 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | DR. JAMES KEITH ROSE (PRESIDENT CEO) |
| Authorized Official Telephone | 3616511200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
J4486 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Doctors Center Urgent Care | Doing Business As Name - Organization |
| Street Address |
125 NORTHSHORE BLVD |
| City | PORTLAND |
| State | TX |
| Zip Code | 78374-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685385 | Susan Yvonne Michelle Eiteljorge | Nurse Practitioner | 125 Northshore Blvd, Portland, TX 78374-4206 | 2020-06-28 |
| 1225558307 | Matthew Kern | Nurse Practitioner | 125 Northshore Blvd, Portland, TX 78374-4206 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1760962997 | Kimberly Beal | Licensed Vocational Nurse | 201 Sabine St, Portland, TX 78374 | 2018-08-16 |
| 1134577836 | Christopher Tipton | Specialist/Technologist | 4800 Wildcat Dr., Portland, TX 78374 | 2016-06-03 |
| 1134592629 | Coastal Bend Physicians Pllc | Clinic/Center | 1860 Us Highway 181, Suite C, Portland, TX 78374 | 2015-11-05 |
| 1093191397 | Coastal Er IIi, LLC | Clinic/Center | 1860 Highway 181 Frontage Road, Ste C, Portland, TX 78374 | 2015-08-10 |
| 1376942466 | Allen Portland Dentistry Associates Pllc | Dentist | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
| 1699188284 | Leola Brumley | Speech-Language Pathologist | 2002 Matagorda Dr., Portland, TX 78374 | 2014-06-11 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| 1538355219 | Andrew Marcus Rosendahl | Physician Assistant | 1912 Falcon Drive, Portland, TX 78374 | 2007-09-17 |
| Find all providers in zip 78374 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1548617780 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 54 Rumery, Industrial Park, Portland, ME 04106 | 2016-05-18 |
| 1134563620 | Uptown Providers Inc | Clinic/Center | 7033 Ne Sandy Blvd, Portland, OR 97213 | 2013-04-26 |
| 1639428436 | Urgent Care Express PC | Clinic/Center | 4160 Ne Sandy Blvd, Suite 1200, Portland, OR 97212-5336 | 2012-09-07 |
| 1578823506 | Crossroads Urgent Care Pllc | Clinic/Center | 121 Village Drive, Suite 101, Portland, TN 37148-1418 | 2012-05-24 |
| 1073038618 | Convenientmd LLC | Clinic/Center | 191 Marginal Way, Portland, ME 04101-2438 | 2017-08-04 |
| 1457803769 | Meridian Health Services Corp | Clinic/Center | 500 W Votaw St, Suite A, Portland, IN 47371-1322 | 2016-11-03 |
| 1962954685 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 12518 Ne Airport Way, Ste 110, Portland, OR 97230 | 2016-10-28 |
| 1770926941 | Generations Family Medicine, Professional Corporation | Clinic/Center | 8106 Ne Wasco St, Portland, OR 97213-6737 | 2013-04-08 |
| 1841546843 | Tran Biz Inc | Clinic/Center | 2448 Se 89th Ave, Suite 1, Portland, OR 97216-2052 | 2012-07-27 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on CC DOCTORS CENTER PORTLAND, PLLC.
| 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.