KENNETH D WILGERS M.D. PA (NPI# 1689863169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689863169 |
| Entity Type | Organization |
| Organization Name | KENNETH D WILGERS M.D. PA |
| Practice Address |
3129 College St Suite 200 Beaumont TX 77701-4660 |
| Practice Telephone | 4098328600 |
| Practice Fax Number | 4098328601 |
| Mailing Telephone | 4098328600 |
| Mailing Fax Number | 4098328601 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | DR. KENNETH D WILGERS (FAMILY PRACTITIONER) |
| Authorized Official Telephone | 4098328600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146M00000X | Emergency Medical Technician, Intermediate | H11697 | TX | Emergency Medical Service Providers |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
H11697 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3129 COLLEGE ST SUITE 200 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77701-4660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031602 | Alberto Diaz-saldana | Ophthalmology | 3129 College St, Beaumont, TX 77701-4660 | 2005-05-31 |
| 1700187341 | Melissa Ann Evans | Nurse Practitioner | 3129 College St, Suite Number 200, Beaumont, TX 77701-4660 | 2010-11-13 |
| 1104010933 | Beaumont Eye Associates LLP | Ophthalmology | 3129 College St, Beaumont, TX 77701-4660 | 2007-09-05 |
| 1467654798 | Min Ren | Ophthalmology | 3129 College St, Beaumont, TX 77701-4660 | 2007-05-31 |
| 1275506206 | Kenneth D. Wilgers | Emergency Medical Technician, Basic | 3129 College St, Suite 200, Beaumont, TX 77701-4660 | 2006-02-09 |
| 1154306488 | Beaumont Eye Associates Pllc | Eyewear Supplier (Equipment, not the service) | 3129 College St, Suite 100, Beaumont, TX 77701-4653 | 2005-12-09 |
| 1063414365 | Jerry S Lehmann | Ophthalmology | 3129 College St, Beaumont, TX 77701-4660 | 2005-06-01 |
| 1487657821 | Joann Hensel | Ophthalmology | 3129 College St, Beaumont, TX 77701-4660 | 2005-05-31 |
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649476656 | Martin J Munroe | Family Medicine | 7950 Silverleaf St, Beaumont, TX 77707-3637 | 2007-06-26 |
| 1225190416 | Lois E Muhammad | Family Medicine | 4450 Highland Ave, Beaumont, TX 77705 | 2006-12-14 |
| 1881601227 | Francis H Stovall | Family Medicine | 3420 Veterans Cir, Va Outpatient Clinic, Beaumont, TX 77707-2552 | 2006-08-01 |
| 1073527040 | Victorico Ferguson Singzon | Family Medicine | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2006-07-27 |
| 1609890185 | Rita V Kusnoor | Family Medicine | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2006-07-27 |
| 1740272756 | Sakuntalai Srinanthakumar | Family Medicine | 740 Hospital Dr, Suite 180, Beaumont, TX 77701-4664 | 2005-08-16 |
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| 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 | ||||
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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.