BILLY B WESTBROOK (NPI# 1306819032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306819032 |
| Entity Type | Individual |
| Full Name | BILLY B WESTBROOK |
| Credential | D.P.M. |
| Practice Address |
2828 4th St Longview TX 75605-5718 |
| Mailing Address |
2828 N 4th St Longview TX 75605-5718 |
| Practice Telephone | 9037584468 |
| Practice Fax Number | 9037585056 |
| Mailing Telephone | 9037584468 |
| Mailing Fax Number | 9037585056 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | TX0578 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 092751901 | 05 | |
| TX | IRS INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER | 751523800 | 01 |
| TX | 092751902 | 05 | |
| TN | MEDICARE RAILROAD | 480928621 | 01 |
| TX | MEDICARE RAILROAD | 480001643 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 8AJ312 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 S Washington Ave Ste B, Marshall, TX 756705370 | 9039381815 | 9039383662 |
| Street Address |
2828 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316032451 | Longview Foot & Ankle Clinic | Podiatrist | 783 Commerce Ave, Suite 120, Longview, WA 98632 | 2006-10-04 |
| 1609979145 | Karla Ann Trombello | Podiatrist | 1114 Broadway, Longview, WA 98632 | 2006-09-07 |
| 1316900376 | Bert Eagle Sharp | Podiatrist | 613 N 4th St, Longview, TX 75601-6616 | 2006-04-10 |
| 1629064720 | John C Griffin | Podiatrist | 1106 N 6th St, Longview, TX 75601-5536 | 2005-09-23 |
| 1740273937 | Misty Dawn Baker | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2005-08-24 |
| 1356347637 | Selwyn Willis | Podiatrist | 609 E Whaley St, Longview, TX 75601-6526 | 2005-06-22 |
| 1538534672 | Foot Clinic of East Texas PC | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2015-12-01 |
| 1174952600 | East Texas Happy Feet Foot Clinic PC | Podiatrist | 305 N 5th St, Longview, TX 75601-6518 | 2013-11-05 |
| 1952746026 | Kirkpatrick Family Care Foot and Ankle | Podiatrist | 783 Commerce Ave, Suite 120, Longview, WA 98632-2450 | 2013-05-02 |
| 1902199110 | Misty Baker The Foot Doctor, PC | Podiatrist | 2840 Bill Owens Pkwy, Ste A, Longview, TX 75605-2150 | 2011-05-20 |
| Find all providers in LONGVIEW | ||||
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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.