DOMINIQUE J BEAUDRY MD PA (NPI# 1467616201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467616201 |
| Entity Type | Organization |
| Organization Name | DOMINIQUE J BEAUDRY MD PA |
| Practice Address |
3030 North St Suite 312 Beaumont TX 77702-1433 |
| Practice Telephone | 4098992020 |
| Practice Fax Number | 4098992121 |
| Mailing Telephone | 4098992020 |
| Mailing Fax Number | 4098992121 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2011-09-23 |
| Authorized Official Name | DR. DOMINIQUE J BEAUDRY (MD/OWNER) |
| Authorized Official Telephone | 4098992121 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M9151 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
M9151 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 197371102 | 05 |
| Street Address |
3030 NORTH ST SUITE 312 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164876 | Lonnie James Bean Jr. | Specialist | 3030 North St, Ste 320, Beaumont, TX 77702-1434 | 2005-06-14 |
| 1699222919 | Beaumont Allergy Associates,pllc | Allergy & Immunology | 3030 North St, Suite 500, Beaumont, TX 77702-1433 | 2016-09-02 |
| 1063757672 | Jerome F. Schrapps, M.d., Pllc | Surgery | 3030 North St, Suite 340, Beaumont, TX 77702-1433 | 2012-12-07 |
| 1912254566 | Amy Quinn | Nurse Practitioner | 3030 North St, Suite 420, Beaumont, TX 77702-1433 | 2012-08-13 |
| 1467709485 | Mei An Tonette O Ty Arias | Internal Medicine | 3030 North St, Ste 450, Beaumont, TX 77702-1433 | 2012-08-08 |
| 1093092561 | Amy L Guidry | Dietitian, Registered | 3030 North St, Beaumont, TX 77702-1433 | 2011-11-10 |
| 1538442835 | Melissia A Berry | Nurse Practitioner | 3030 North St, Suite 450, Beaumont, TX 77702-1433 | 2011-09-22 |
| 1245477124 | Pamela Sue Porter | Nurse Practitioner | 3030 North St, Suite 312, Beaumont, TX 77702-1434 | 2009-01-14 |
| 1548454192 | Hollie Sikes | Nurse Practitioner | 3030 North St, Suite 560, Beaumont, TX 77702-1433 | 2007-08-28 |
| 1295926574 | Peter Scott Nelson | Dermatology | 3030 North St, Suite 430 (beaumont Dermatology & Family Practice), Beaumont, TX 77702-1433 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962527911 | Jeffrey A. Klem, Md, Pa | Internal Medicine | 3160 Fannin St, Suite 105, Beaumont, TX 77701-3948 | 2007-03-20 |
| 1306259742 | Rahul Patri Md Pllc | Internal Medicine | 3345 Plaza 10 Dr, Ste E, Beaumont, TX 77707-2554 | 2014-06-03 |
| 1225194129 | Metropolitan Cardiology P A | Internal Medicine | 740 Hospital Dr Ste 200, Beaumont, TX 77701-4663 | 2006-12-28 |
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| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
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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.