Provider Demographics
NPI:1295868883
Name:VISINTINE, JOHN FRANCIS III (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FRANCIS
Last Name:VISINTINE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:7121 SOUTH PADRE ISLAND DRIVE,
Mailing Address - Street 2:SUITE 118
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412
Mailing Address - Country:US
Mailing Address - Phone:361-694-6054
Mailing Address - Fax:361-980-1248
Practice Address - Street 1:7121 SOUTH PADRE ISLAND DRIVE,
Practice Address - Street 2:SUITE 118
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412
Practice Address - Country:US
Practice Address - Phone:361-694-6054
Practice Address - Fax:361-980-1248
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV12591207VG0400X, 207VM0101X
TX3376207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1295868883Medicaid
TX205535201Medicaid
H37232Medicare UPIN
NVV10351400Medicare PIN