DISCOVERY MEDICAL NETWORK MATAGORDA LLC (NPI# 1053672535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053672535 |
| Entity Type | Organization |
| Organization Name | DISCOVERY MEDICAL NETWORK MATAGORDA LLC |
| Other Organization Name | MATAGORDA MEDICAL GROUP |
| Practice Address |
600 Hospital Cir Bay City TX 77414-4771 |
| Mailing Address |
2950 50th St Lubbock TX 79413-4326 |
| Practice Telephone | 9792450001 |
| Practice Fax Number | 9792448103 |
| Mailing Telephone | 8067911591 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | MR. DERRELL M HAVINS (VICE PRESIDENT) |
| Authorized Official Telephone | 8067911591 |
| Is Organization Subpart | Y |
| Parent Organization Name | DISCOVERY MEDICAL NETWORK INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Matagorda Medical Group | Doing Business As Name - Organization |
| Street Address |
600 HOSPITAL CIR |
| City | BAY CITY |
| State | TX |
| Zip Code | 77414-4771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699758664 | Palivela P Raju | Otolaryngology | 600 Hospital Cir, Suite 201, Bay City, TX 77414-4771 | 2005-11-23 |
| 1225676604 | Discovery Medical Network Matagorda, LLC | Clinic/Center | 600 Hospital Cir, Bay City, TX 77414-4771 | 2019-12-16 |
| 1710464748 | Iolani Mae S Aves | Nurse Practitioner | 600 Hospital Cir, Bay City, TX 77414-4771 | 2018-07-23 |
| 1336638030 | Texas Em 1 Medical Services Pa | Physician Assistant | 600 Hospital Cir, Bay City, TX 77414-4771 | 2018-05-08 |
| 1659788891 | Debra Elaine Shield | Nurse Practitioner | 600 Hospital Cir, Suite 200, Bay City, TX 77414-4771 | 2014-07-21 |
| 1679909915 | Discovery Medical Network Matagorda, LLC | Internal Medicine | 600 Hospital Cir, Suite 201, Bay City, TX 77414-4755 | 2013-09-18 |
| 1154408235 | Jerry D Young | Surgery | 600 Hospital Cir, Suite 201, Bay City, TX 77414-4771 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040436 | Bay City Pharmacy | Pharmacy | 3217 Avenue F, Bay City, TX 77414 | 2019-12-16 |
| 1013572585 | Amber Robinson | Massage Therapist | 11 Cr 126, 2, Bay City, TX 77414 | 2019-05-09 |
| 1699288076 | Paula Orsak | Dental Hygienist | 205 Ida Ave., Bay City, TX 77414 | 2017-11-08 |
| 1376905844 | Cathy Green | Nurse Practitioner | 600 Hospital Circle, Suite 201, Bay City, TX 77414 | 2016-03-24 |
| 1609277391 | Mary Elizabeth Young | Pharmacist | 2700 7th Street, Bay City, TX 77414 | 2014-09-12 |
| 1194151621 | Tillman Moody Daniel Jr. | General Practice | 2721 Oak Dr., Bay City, TX 77414 | 2013-09-16 |
| 1578863494 | Crayden Dennard, D.d.s. & Ricardo Lucio, D.d.s., Pllc | Dentist | 4040 Ave F, Bay City, TX 77414 | 2010-10-26 |
| 1770818247 | Jennifer Kaye Davis-lewis | Chiropractor | 720 Avenue F, Suite 2, Bay City, TX 77414 | 2009-10-16 |
| 1639321177 | Fondren Orthopedic Group L.l.p. | Orthopaedic Surgery | 720 Avenue F. North, Suite 5, Bay City, TX 77414 | 2008-10-15 |
| 1275684979 | Earl Stanley Brown | Optometrist | 3612 Ave F, Bay City, TX 77414 | 2007-01-16 |
| Find all providers in zip 77414 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601612 | Charlotte Yang, Md, Plc | Family Medicine | 4817 W Professional Dr, Bay City, MI 48706-2818 | 2018-05-31 |
| 1205327285 | Mid Michigan Family Medicine and Health Care Services Pllc | Family Medicine | 612 Green Ave, Bay City, MI 48708-6847 | 2018-05-24 |
| 1922528512 | Brittany Kirstin Phala | Family Medicine | 4040 N Euclid Ave Ste B, Bay City, MI 48706-2493 | 2017-06-23 |
| 1710330634 | Andrew Alex Whiteside | Family Medicine | 74 N Tuscola Rd, Bay City, MI 48708-6970 | 2016-07-15 |
| 1679864003 | Brian Wayne Schneider | Family Medicine | 164 Trinity St, Bay City, TX 77414-2140 | 2011-04-19 |
| 1730388380 | Ascension St. Mary's Hospital | Family Medicine | 4040b N . Euclid Ave, Bay City, MI 48706 | 2007-07-13 |
| 1831279348 | Daniel Thomas Webb | Family Medicine | 74 Tuscola, Bay City, MI 48708 | 2006-10-17 |
| 1750314035 | Linda Samborn | Family Medicine | 4175 N Euclid Ave Ste 3, Bay City, MI 48706-2483 | 2006-07-09 |
| 1568495406 | Charles E Kerr | Family Medicine | 1606 S Euclid Ave, Bay City, MI 48706-3320 | 2006-07-07 |
| 1164467916 | Pinconning Medical Center P.C. | Family Medicine | 2520 N Euclid Ave, Bay City, MI 48706-1148 | 2006-06-17 |
| Find all providers in BAY CITY | ||||
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| 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.