SOUTHEAST TEXAS SELF-MANAGEMENT OF DIABETES (NPI# 1649646357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649646357 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST TEXAS SELF-MANAGEMENT OF DIABETES |
| Practice Address |
3030 North St Ste 560 Beaumont TX 77702-1424 |
| Practice Telephone | 4098359834 |
| Practice Fax Number | 4098953547 |
| Mailing Telephone | 4098359834 |
| Mailing Fax Number | 4098953547 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | ROBERT C HOOD (PRESIDENT) |
| Authorized Official Telephone | 4098359834 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ENDOCRINE CLINIC OF SOUTHEAST TEXAS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
J4950 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 085737702 | 05 |
| Street Address |
3030 NORTH ST STE 560 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235622887 | Brittany Michelle Briggs | Dietitian, Registered | 3030 North St Ste 560, Beaumont, TX 77702-1424 | 2018-06-08 |
| 1285124842 | Tomi Yezak | Nurse Practitioner | 3030 North St Ste 560, Beaumont, TX 77702-1424 | 2018-05-18 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760732069 | Yugal Maheshwari,md,pa | Internal Medicine | 2194-b, Eastex Freeway, Beaumont, TX 77703-4981 | 2012-09-13 |
| 1548494685 | Yugal Maheshwari, M.d.,p.a. | Internal Medicine | 2194 Eastex Fwy Ste B, Beaumont, TX 77703-4981 | 2009-05-04 |
| 1871678268 | Jennifer Lee East | Internal Medicine | 3440 Fannin Street, Beaumont, TX 77701 | 2006-10-26 |
| 1750366324 | Yugal Kishore Maheshwari | Internal Medicine | 2194 Eastex Freeway, Ste B, Beaumont, TX 77703-4981 | 2005-12-07 |
| 1447258850 | Kandaswamy Jayaraj | Internal Medicine | 3440 Fannin St, Beaumont, TX 77701-3842 | 2005-07-09 |
| 1851713895 | Yugal Maheshwari, M.d., P.a. | Internal Medicine | 2194 Eastex Fwy Ste B, Beaumont, TX 77703-4981 | 2014-01-10 |
| 1487667127 | Jose M. Ortiz | Internal Medicine | 3030 North St, Suite,560, Beaumont, TX 77702-1433 | 2006-08-14 |
| 1053321539 | Robert C. Hood | Internal Medicine | 3030 North St, Suite 560, Beaumont, TX 77702-1433 | 2006-08-08 |
| 1770568495 | Jehanara Ahmed | Internal Medicine | 3070 College St, Suite 201, Beaumont, TX 77701-4691 | 2005-12-15 |
| 1043218514 | Kandaswamy Jayaraj Md Pa | Internal Medicine | 3030 North St, #310, Beaumont, TX 77702-1433 | 2005-07-08 |
| Find all providers in BEAUMONT | ||||
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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.