PINEYWOODS DIAGNOSTIC CLINIC (NPI# 1447339916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447339916 |
| Entity Type | Organization |
| Organization Name | PINEYWOODS DIAGNOSTIC CLINIC |
| Practice Address |
106 Highway 69 N Huntington TX 75949 |
| Mailing Address |
Po Box 1297 Huntington TX 75949-1297 |
| Practice Telephone | 9368765719 |
| Practice Fax Number | 9368763308 |
| Mailing Telephone | 9368765719 |
| Mailing Fax Number | 9368763308 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LENIN PINNAMANENI (PARTNER) |
| Authorized Official Telephone | 9368765719 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
F8981 | TX | Allopathic & Osteopathic Physicians |
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
J9263 | TX | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | F8981 | TX | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | J9263 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUECROSS BLUESHIELD | 00T87K | 01 |
| TX | RAILROAD MEDICARE | DB3800 | 01 |
| Street Address |
106 HIGHWAY 69 N |
| City | HUNTINGTON |
| State | TX |
| Zip Code | 75949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215494901 | Shelby Lauren Bryan | Dental Assistant | 529 Marshall Ivy Rd, Huntington, TX 75949 | 2019-02-28 |
| 1245554625 | Distinct Focus On Life Lp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 N Us Highway 69, Huntington, TX 75949 | 2010-03-15 |
| 1740417682 | Gayatri Raina | Dentist | 1202 N Main St, Huntington, TX 75949 | 2009-06-18 |
| 1710506811 | Angela Lynn Day | Registered Nurse | 1640 Fm 1475, Huntington, TX 75949-2865 | 2020-04-09 |
| 1265707103 | Betsy Redd Smith | Counselor | 1202 Fm 1669, Huntington, TX 75949-2918 | 2012-03-10 |
| 1164922894 | Belinda Summers Moore | Licensed Vocational Nurse | 3180 Fm 328, Huntington, TX 75949-3019 | 2018-02-19 |
| 1689177669 | Angela Joy Lee | Licensed Vocational Nurse | 725 Robinson Ln, Huntington, TX 75949-3228 | 2018-03-15 |
| 1124678156 | Misty Rae Stauffer | Nurse Practitioner | 406 Viking Cove Rd, Huntington, TX 75949-3474 | 2019-09-11 |
| 1942746458 | Linda F Havard | Preferred Provider Organization | 16462 S Us Highway 69, Huntington, TX 75949-4499 | 2017-01-09 |
| 1700319415 | Stay At Home Health Care | In Home Supportive Care | 16462 S Us Highway 69, Huntington, TX 75949-4499 | 2017-04-10 |
| Find all providers in zip 75949 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033355607 | Louis Anthony Perrotta Jr. | Family Medicine | 181 Huntington Bay Rd, Huntington, NY 11743-1334 | 2008-12-31 |
| 1811302540 | Aniqa Irfan Gorgani | Family Medicine | 325 Park Ave, Huntington, NY 11743 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686496 | Hill Country Health Pllc | Family Medicine | 1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 | 2020-10-14 |
| 1174139471 | Stacie Leann Herring | Family Medicine | 1300 Tx-107, La Villa, TX 78562 | 2020-09-22 |
| 1336753508 | Woodlands Diagnostic Clinic, Pa | Family Medicine | 9201 Pinecroft Dr Ste 200, Shenandoah, TX 77380-3889 | 2020-09-03 |
| 1932738465 | Arlington Integrative Medicine LLC | Family Medicine | 1420 N Cooper St Ste 109, Arlington, TX 76011-8530 | 2020-04-06 |
| 1396379772 | Heights Total Wellness Clinic, Pllc | Family Medicine | 1801 Durham Dr Ste 4, Houston, TX 77007-2272 | 2020-02-25 |
| 1063043271 | Katie Lianne Jubala | Family Medicine | 129 Park Place Cir, Iowa Park, TX 76367-1064 | 2020-01-28 |
| 1558909879 | Forrest Duane Giles | Family Medicine | 152 Mcvoid Rd, Springtown, TX 76082-5929 | 2019-12-17 |
| 1710525225 | Mary Osawe | Family Medicine | 1308 Winecup Ct, Allen, TX 75002-0983 | 2019-12-16 |
| 1609411735 | Sara E Bellard | Family Medicine | 4735 Ridgewood Ave, Port Arthur, TX 77642-6612 | 2019-11-13 |
| 1528600574 | Shearren Johnson | Family Medicine | 2162 Us Highway 259 S, Diana, TX 75640-3510 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON |
| Zip Code | 75949 |
Please comment or provide details below to improve the information on PINEYWOODS DIAGNOSTIC CLINIC.
| 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.