Unknown Individual – Physician Assistant, NPI 1205898053
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5734, Spohn Drive, South Side, Corpus Christi, Nueces County, Texas, 78414, United States
CORPUS CHRISTI, TX 784144116
Phone: (361) 882-4452
Fax: (361) 882-5414
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $336.
Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Boston Scientific Corporation ($288).
Total Amount
$336
General + Research + Ownership
Payments
16
Total payment records
General Amount
$336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $288 |
| Nevro Corp. | $34 |
| Collegium Pharmaceutical, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78414)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Pain Management | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Anesthesiology, Pain Management | TX | |
| Physical Medicine And Rehabilitation, Pain Management | TX | |
| Physical Medicine And Rehabilitation, Pain Management | PA |
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