DIAGNOSTIC GROUP IMAGING PLLC (NPI# 1477933299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477933299 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC GROUP IMAGING PLLC |
| Practice Address |
3480 College St Suite 200 Beaumont TX 77701 |
| Mailing Address |
3406 College St Suite 200 Beaumont TX 77701-4612 |
| Practice Telephone | 4098131677 |
| Practice Fax Number | 4098131699 |
| Mailing Telephone | 4098131677 |
| Mailing Fax Number | 4098131699 |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | BRAD THIBODAUX (CHIEF DATA OFFICER) |
| Authorized Official Telephone | 4097302022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3282 College St, Beaumont, TX 777014610 | 4098131677 |
| Street Address |
3480 COLLEGE ST SUITE 200 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314393 | Keith B Stout | Family Medicine | 3480 College St, Beaumont, TX 77701-4612 | 2005-05-31 |
| 1215415302 | Stephanie Lynne Shaeffer | Nurse Practitioner | 3480 College St, Beaumont, TX 77701-4612 | 2018-08-01 |
| 1053808758 | Leah Coleman | Specialist/Technologist, Other | 3480 College St, Beaumont, TX 77701 | 2018-04-18 |
| 1669829560 | Tiffany Larnette | Nurse Practitioner | 3480 College St, Beaumont, TX 77701-4612 | 2016-05-20 |
| 1255788170 | Shahean Fayaz | Nurse Practitioner | 3480 College St, Beaumont, TX 77701-4612 | 2016-05-20 |
| 1972921500 | Christine S Jackson | Nurse Practitioner | 3480 College St, Beaumont, Beaumont, TX 77701-4612 | 2014-04-01 |
| 1366703852 | Myrna Cruz Roderick | Nurse Practitioner | 3480 College St, Beaumont, TX 77701 | 2012-05-31 |
| 1336433200 | Nicole Hancock | Internal Medicine | 3480 College St, Beaumont, TX 77701 | 2011-06-08 |
| 1013236371 | Madhuri Adabala | Internal Medicine | 3480 College St, Beaumont, TX 77701-4612 | 2010-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
| 1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
| 1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
| 1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
| 1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
| 1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| Find all providers in zip 77701 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629212840 | Beaumont Radiology Services LLC | Clinic/Center | 81 S. Highland Springs Avenue, Suite 102, Beaumont, CA 92223 | 2009-05-01 |
| 1053595868 | Dental & Specialty Imaging | Clinic/Center | 3199 Dowlen Rd, Suite D, Beaumont, TX 77706-7284 | 2007-12-28 |
| 1821012907 | Provision Imaging of Beaumont | Clinic/Center | 3980 Dowlen Rd, Beaumont, TX 77706-6847 | 2006-07-26 |
| 1245233501 | Physicians Cardiovascular Diagnostic Center, L.l.p. | Clinic/Center | 2955 Harrison St, Ste 300, Beaumont, TX 77702-1157 | 2005-05-31 |
| 1871965913 | Winnie Community Hospital, LLC | Clinic/Center | 390 N 11th St, Suite 100, Beaumont, TX 77702-1802 | 2015-10-28 |
| 1295901973 | The Mri Center, L.L.C. | Clinic/Center | 3980 Dowlen Rd, Beaumont, TX 77706-6847 | 2008-05-02 |
| 1093905010 | Clarus Imaging (beaumont), Lp | Clinic/Center | 390 N 11th St, Beaumont, TX 77702-1802 | 2007-07-26 |
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| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
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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.