BEAUMONT SPINE PAIN AND SPORTS MEDICINCE (NPI# 1104863059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104863059 |
| Entity Type | Organization |
| Organization Name | BEAUMONT SPINE PAIN AND SPORTS MEDICINCE |
| Practice Address |
5220 Eastex Fwy Beaumont TX 77708-5320 |
| Practice Telephone | 4099248600 |
| Mailing Telephone | 4099248600 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL SMESNY (CFO) |
| Authorized Official Telephone | 8328861900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | E3137 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5220 EASTEX FWY |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77708-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598998627 | Beaumont Chronic Pain LLC | Specialist | 5220 Eastex Fwy, Beaumont, TX 77708-5320 | 2009-08-24 |
| 1760670442 | John Q.a. Webb, Jr. Md | Physical Medicine & Rehabilitation | 5220 Eastex Fwy, Beaumont, TX 77708-5320 | 2007-10-09 |
| 1942494026 | John Q. A. Webb Jr Md Pa | Specialist | 5220 Eastex Fwy, Beaumont, TX 77708-5320 | 2007-08-31 |
| 1003858010 | John Q.a. Webb Jr. | General Practice | 5220 Eastex Fwy, Beaumont, TX 77708-5320 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445333 | Wael Hamdan | Dentist | 6970 Firethorn, Beaumont, TX 77708 | 2015-08-28 |
| 1649658238 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 11025 Eastex Freeway, Suites D/e, Beaumont, TX 77708 | 2015-05-14 |
| 1083804520 | Roland Melvin Williams | Dentist | 7640 Eastex Frwy, Beaumont, TX 77708 | 2007-07-31 |
| 1609980523 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5125 Mcanelly Dr, Beaumont, TX 77708 | 2006-08-18 |
| 1598879413 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5965 Navajo Trail, Beaumont, TX 77708 | 2006-08-18 |
| 1962441980 | Mobility Scooters | Durable Medical Equipment & Medical Supplies | 10955 A Eastex Freeway, Beaumont, TX 77708 | 2006-06-05 |
| 1932347606 | National Seating & Mobility, Inc | Home Health | 10945 Eastex Fwy, Beaumont, TX 77708-0902 | 2009-02-03 |
| 1003824814 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11125 Eastex Fwy, Beaumont, TX 77708-0906 | 2006-08-04 |
| 1548279888 | Pulse Homecare, Ltd. | Home Health | 10485 Eastex Fwy Ste C, Beaumont, TX 77708-1052 | 2006-08-05 |
| 1356966980 | Carol Devera Guillory | Occupational Therapist | 4535 Holst St, Beaumont, TX 77708-1531 | 2020-06-09 |
| Find all providers in zip 77708 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225500556 | Cric Enterprise LLC | General Practice | 6040 Barrington Ave, Beaumont, TX 77706-7379 | 2018-12-27 |
| 1639591480 | Chs Texas Medical, P.a. | General Practice | 11357 Highway 10 Sw, Smith Rd, Beaumont, TX 77705 | 2014-01-14 |
| 1083731756 | Chad W Hammett | General Practice | 755 N. 11th Street, Suite P5200, Beaumont, TX 77702-1522 | 2007-03-26 |
| 1003858010 | John Q.a. Webb Jr. | General Practice | 5220 Eastex Fwy, Beaumont, TX 77708-5320 | 2006-06-12 |
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| Find all providers with the same taxonomy | ||||
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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.