DR. RAJA S. PATHAPATI (NPI# 1083669501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083669501 |
| Entity Type | Individual |
| Full Name | DR. RAJA S. PATHAPATI |
| Credential | M.D. |
| Practice Address |
3420 Veterans Cir Beaumont TX 77707 |
| Mailing Address |
3749 Champions Dr Beaumont TX 77707 |
| Practice Telephone | 4099818550 |
| Practice Fax Number | 4099818563 |
| Mailing Telephone | 4099818586 |
| Mailing Fax Number | 4099818583 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME71265 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | M6335 | 01 |
| FL | LICENSE | ME71265 | 01 |
| Street Address |
3420 VETERANS CIR |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528019593 | Houston Vamc | Clinic/Center | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2006-05-15 |
| 1497288179 | Timothy Rhodes | Pharmacist | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2017-04-09 |
| 1588922546 | Nicole Yvette Jaikaran | Psychiatry & Neurology | 3420 Veterans Cir, Beaumont, TX 77707 | 2012-04-27 |
| 1376848853 | John Gonzalez | Pharmacist | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2011-01-14 |
| 1962739490 | Shelley D Taylor | Dietitian, Registered | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2009-11-04 |
| 1174787105 | Houston Vamc | Department of Veterans Affairs (VA) Pharmacy | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2008-07-18 |
| 1861665572 | Va Outpatiient Clinic | Department of Veterans Affairs (VA) Pharmacy | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2008-04-03 |
| 1124297502 | Merrie Ellen Ingalls-webb | Social Worker | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2008-02-29 |
| 1043409477 | Catherine Broussard Trevino | Nurse Practitioner | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2007-10-22 |
| 1013134337 | Victoria Marie Stratton | Pharmacist | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2007-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
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| 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 |
|---|---|---|---|---|
| 1013369883 | Merrycure Medical Corp. | Internal Medicine | 37645 Mulligan Dr, Beaumont, CA 92223-8082 | 2016-07-06 |
| 1063826204 | Lowell L Sparks Jr. | Internal Medicine | 1506 Hunter Moon Way, Beaumont, CA 92223-2069 | 2014-06-16 |
| 1356543631 | John Arthur Trinh, M.d. | Internal Medicine | 810 Hospital Dr Ste 105, Beaumont, TX 77701-4633 | 2007-05-31 |
| 1215077482 | Waqar Ahmad | Internal Medicine | 755 N 11th St, Suite D1001, Christus St. Elizabeth Wound Care/hyperbarics, Beaumont, TX 77702 | 2007-02-07 |
| 1194889881 | John Arthur Trinh | Internal Medicine | 6165 Gracemount Ln, Beaumont, TX 77706-7157 | 2006-12-20 |
| 1992879068 | Diagnostic & Internal Medicine Clinic Pa | Internal Medicine | 2929 Calder Street, Suite 308, Beaumont, TX 77702 | 2006-11-20 |
| 1740379692 | Neelu Kumari | Internal Medicine | 3939 Dowlen Rd, Beaumont, TX 77706-6875 | 2006-10-11 |
| 1043221278 | Aamer Janjua | Internal Medicine | 6345 Ellington Ln, Beaumont, TX 77706-4045 | 2006-08-11 |
| 1861422412 | Ezea Daniel Ede | Internal Medicine | 3070 Hospital Dr, Suite 405, Beaumont, TX 77701-4691 | 2006-07-03 |
| 1275591455 | Earle Stephen Thornhill | Internal Medicine | 7760 N Lakeside Dr, Beaumont, TX 77707-3054 | 2006-05-04 |
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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.