SHORELINE PODIATRY, PA
NPI 1538198767
Podiatrist in Corpus Christi, TX

NPI Status: Active since July 01, 2006

Contact Information

613 ELIZABETH ST
STE 513
CORPUS CHRISTI, TX
ZIP 78404
Phone: (361) 881-8313
Fax: (361) 881-8323

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  • Organization
  • Podiatrist
  • CLIA Number: 45D0664371
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-09-2025

About SHORELINE PODIATRY, PA

This page provides the complete NPI Profile along with additional information for Shoreline Podiatry, Pa, a provider established in Corpus Christi, Texas operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1538198767 assigned on July 2006. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Ronald B Killian Dpm (Podiatrist Owner)

NPI
1538198767
Provider Name
SHORELINE PODIATRY, PA
Entity Type
Organization
Location Address
613 ELIZABETH ST STE 513 CORPUS CHRISTI, TX 78404
Location Phone
(361) 881-8313
Location Fax
(361) 881-8323
Mailing Address
PO BOX 271416 CORPUS CHRISTI, TX 78427
Mailing Phone
(361) 334-1136
Mailing Fax
(361) 881-8323
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2006
Last Update Date
07-11-2008
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A podiatrist like Shoreline Podiatry, Pa provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

1537 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RONALD B KILLIAN DPM

Authorized Official Title
PODIATRIST OWNER
Authorized Official Phone
(361) 334-1136

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
610351300OTHER (01)TXDEPARTMENT OF LABOR
DD0599OTHER (01)TXRAILROAD MEDICARE
5451980001OTHER (01)TXMEDICARE NSC
0048MQOTHER (01)TXBCBS OF TX
U85546MEDICARE UPIN (02)TX 
00620YMEDICARE ID-TYPE UNSPECIFIED (04)TXMEDICARE GROUP NUMBER
5451980001MEDICARE NSC (07)TX 
174333801MEDICAID (05)TX 
174333803MEDICAID (05)TX 
174333802MEDICAID (05)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0664371
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 10, 2023
Certificate Expiration Date
August 09, 2025
Laboratory Director
BRUCE A. GIBSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shoreline Podiatry, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SHORELINE PODIATRY, PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538198767
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25682916712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 2 + 9 + 1 + 6 + 7 + 1 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1538198767 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396738308MR. EUGENE CHARLES THERIOT M.D.
Individual
Anesthesiology613 ELIZABETH ST SUITE 605
CORPUS CHRISTI, TX 78404
(361) 883-6211
1356334395MR. JOSEPH RAYMOND JIMENEZ M.D.
Individual
Anesthesiology613 ELIZABETH ST SUITE 605
CORPUS CHRISTI, TX 78404
(361) 883-6211
1396738498MR. NICHOLAS JEVRIC M.D.
Individual
Anesthesiology613 ELIZABETH ST SUITE 605
CORPUS CHRISTI, TX 78404
(361) 883-6211
1760475685DR. CHRISTOPHER LUIS FERNANDEZ M.D.
Individual
Anesthesiology613 ELIZABETH ST 605
CORPUS CHRISTI, TX 78404
(361) 883-6211
1083607907DR. DAVID VENECIA M.D.
Individual
Anesthesiology613 ELIZABETH ST 605
CORPUS CHRISTI, TX 78404
(361) 883-6211
1477546422DR. JERRY ALLEN CRAWFORD M.D.
Individual
Anesthesiology613 ELIZABETH ST 605
CORPUS CHRISTI, TX 78404
(361) 883-6211
1003809054DR. LINDA LEE EARLY M.D.
Individual
Anesthesiology613 ELIZABETH ST 605
CORPUS CHRISTI, TX 78404
(361) 883-6211
1679562516MR. SCOTT BRIAN WAGNER CRNA
Individual
Nurse Anesthetist, Certified Registered613 ELIZABETH ST SUITE 605
CORPUS CHRISTI, TX 78404
(361) 883-6211
1699757237DR. MICHAEL D FIELDS MD
Individual
Family Medicine613 ELIZABETH ST STE. 702
CORPUS CHRISTI, TX 78404
(361) 883-4803
1124068234DR. NICHOLAS MICHAEL BOWN MD
Individual
Emergency Medicine613 ELIZABETH ST SUITE 702
CORPUS CHRISTI, TX 78404
(361) 883-4800
1093749590 STEVEN M. SCHOENICKE CRNA
Individual
Nurse Anesthetist, Certified Registered613 ELIZABETH ST SUITE 605
CORPUS CHRISTI, TX 78404
(361) 883-1094
1518991793CARDIOVASCULAR ASSOCIATES OF CORPUS CHRISTI PA
Organization
Surgery (Vascular Surgery)613 ELIZABETH ST 604
CORPUS CHRISTI, TX 78404
(713) 850-1190
1154339380DR. ANTHONY FRANCIS ASISTIDO M.D.
Individual
Internal Medicine613 ELIZABETH ST STE. 702
CORPUS CHRISTI, TX 78404
(361) 883-4803
1750460705 BRENDA H PARRISH PA-C
Individual
Physician Assistant613 ELIZABETH ST SUITE 813
CORPUS CHRISTI, TX 78404
(361) 885-7722
1669508396CHARLES H MOORE, MD PA
Organization
Transplant Surgery613 ELIZABETH ST SUITE 511
CORPUS CHRISTI, TX 78404
(361) 884-0033
1336317866ALAMGIR A KHAN MD
Organization
Internal Medicine (Pulmonary Disease)613 ELIZABETH ST SUITE 813
CORPUS CHRISTI, TX 78404
(361) 885-7722
1336397769TEXAS CARDIOVASCULAR CONSULTANTS, PA
Organization
Internal Medicine (Cardiovascular Disease)613 ELIZABETH ST STE. 501
CORPUS CHRISTI, TX 78404
(512) 617-6000
1437309192JOSE DE JESUS TREVINO PAIN MANAGEMENT CENTER P A
Organization
Anesthesiology (Pain Medicine)613 ELIZABETH ST SUITE 805
CORPUS CHRISTI, TX 78404
(361) 883-1744
1083914956TEXAS CARDIAC ARRHYTHMIA PLLC
Organization
Internal Medicine (Clinical Cardiac Electrophysiology)613 ELIZABETH ST SUITE 402
CORPUS CHRISTI, TX 78404
(361) 887-0942
1083905442CARDIOVASCULAR SPECIALISTS OF TEXAS, P.A.
Organization
Internal Medicine (Clinical Cardiac Electrophysiology)613 ELIZABETH ST SUITE 402
CORPUS CHRISTI, TX 78404
(512) 807-3150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538198767, enumerated in the NPI registry as an "organization" on July 01, 2006

The provider is located at 613 Elizabeth St Ste 513 Corpus Christi, Tx 78404 and the phone number is (361) 881-8313

This medical organization specializes in Podiatrist with taxonomy code 213E00000X

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D0664371 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.