METROPOLITANC DRIVE MEDICAL CENTER (NPI# 1679954168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679954168 |
| Entity Type | Organization |
| Organization Name | METROPOLITANC DRIVE MEDICAL CENTER |
| Practice Address |
6025 Metropolitan Dr 205a Beaumont TX 77706-2407 |
| Mailing Address |
100 Tower Dr 232 Burr Ridge IL 60527-5777 |
| Practice Telephone | 6309263408 |
| Mailing Telephone | 6309263408 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Authorized Official Name | ANITA SINGH (VP BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 6309263408 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
6025 METROPOLITAN DR 205A |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760482640 | Erwin Lo | Specialist | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2407 | 2005-07-21 |
| 1477971489 | Leah Renee Moreau | Nurse Practitioner | 6025 Metropolitan Dr, Suite 210, Beaumont, TX 77706-2407 | 2014-04-07 |
| 1881027779 | Texas Neurocare and Spine Institiute Pllc | Psychiatry & Neurology | 6025 Metropolitan Dr, Suite 200, Beaumont, TX 77706-2407 | 2013-08-14 |
| 1265865158 | Brain and Spine Center of Southeast Texas, Pllc | Psychiatry & Neurology | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2407 | 2013-08-14 |
| 1346417342 | Beaumont Neurosurgical Spine Associates Pa | Neurological Surgery | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2408 | 2008-05-09 |
| 1770689358 | Charles B. Clark IIi | Neurological Surgery | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2408 | 2006-09-15 |
| 1710987672 | Sujin Yu | Specialist | 6025 Metropolitan Dr, Suite 205, Beaumont, TX 77706-2407 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529955 | Matthew M Sooudi | Surgery | 980 Thomas Rd, Beaumont, TX 77706-4621 | 2017-10-18 |
| 1215163258 | Alex Ordonez | Surgery | 3406 College St Ste 101, Beaumont, TX 77701 | 2009-06-04 |
| 1427291533 | Camille Denise Blackledge | Surgery | 3406 College Street, Ste 101, Beaumont, TX 77701-7770 | 2009-04-20 |
| 1134317969 | Garrett K Peel | Surgery | 6025 Metropolitan Dr Ste 208, Beaumont, TX 77706 | 2007-10-05 |
| 1215147707 | Eric Tyler Wooten | Surgery | 2965 Harrison St Ste 211, Beaumont, TX 77702-1149 | 2007-05-23 |
| 1497892152 | East Texas Surgical Associates, Pa | Surgery | 350 Pine Street, Suite 1415, Beaumont, TX 77701-2441 | 2007-01-31 |
| 1760558100 | Gaylon Albert Gonzales | Surgery | 2900 North Street, Suite 203, Beaumont, TX 77702 | 2006-11-28 |
| 1124193925 | Mootha V Rao | Surgery | 4480 Thomas Park, Beaumont, TX 77706-7771 | 2006-11-21 |
| 1609971951 | Southeast Texas Surgical Associates, Pa | Surgery | 755 N. 11th Street, Suite P3950, Beaumont, TX 77702-1504 | 2006-09-13 |
| 1104807627 | Charles John Gutierrez | Surgery | 350 Pine St, Suite 1415, Beaumont, TX 77701-2441 | 2005-11-10 |
| 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.