COASTAL BEND INTERNAL MEDICINE PLLC (NPI# 1891139580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891139580 |
| Entity Type | Organization |
| Organization Name | COASTAL BEND INTERNAL MEDICINE PLLC |
| Other Organization Name | COASTAL BEND URGENT CARE AND WALK IN CLINIC |
| Practice Address |
1752 Santa Fe St Corpus Christi TX 78404-1857 |
| Practice Telephone | 3615486686 |
| Mailing Telephone | 3615486686 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | MARC IBANEZ (OWNER) |
| Authorized Official Telephone | 3614297244 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | M4188 | TX | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | M4188 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Coastal Bend Urgent Care and Walk In Clinic | Doing Business As Name - Organization |
| Street Address |
1752 SANTA FE ST |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740786961 | Bts Galeno, Corp | Internal Medicine | 5262 S Staples St Ste 111, Corpus Christi, TX 78411-4100 | 2018-04-05 |
| 1104287747 | Linnea Lebaron | Internal Medicine | 6841 Iroquois Dr, Corpus Christi, TX 78413-4697 | 2016-03-09 |
| 1417316571 | Darlene Sanchez | Internal Medicine | 1660 S Staples St Ste 150, Corpus Christi, TX 78404-3156 | 2016-02-17 |
| 1427301365 | You First Medical Care Association | Internal Medicine | 6050 Tarafaya Dr, Corpus Christi, TX 78414-6133 | 2012-10-16 |
| 1558635912 | Kirby Gordon Barker Jr. | Internal Medicine | 5305 Saint Andrews Dr, Corpus Christi, TX 78413-2810 | 2012-03-02 |
| 1376820092 | Luis Antonio Mackrizz Md Pa | Internal Medicine | 5710 Esplanade Dr, Corpus Christi, TX 78414-4165 | 2011-11-09 |
| 1154629434 | Wellmed Medical Group, P.a. | Internal Medicine | 1215 Santa Fe St., Corpus Christi, TX 78404-2338 | 2011-03-10 |
| 1811209075 | Randy Ric Pearce | Internal Medicine | 5262 S Staples St Ste 328, Corpus Christi, TX 78411-4116 | 2010-07-05 |
| 1043541303 | Enrique Cisneros Ramos Jr. | Internal Medicine | 345 S Water St, Corpus Christi, TX 78401 | 2010-01-26 |
| 1659509990 | Sridhar Venkatachalam | Internal Medicine | 1521 S Staples St Ste 700, Corpus Christi, TX 78404-3160 | 2009-06-25 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
Please comment or provide details below to improve the information on COASTAL BEND INTERNAL MEDICINE 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.