MICHAEL J BADLISSI MD PA (NPI# 1699024158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699024158 |
| Entity Type | Organization |
| Organization Name | MICHAEL J BADLISSI MD PA |
| Practice Address |
2501 Jimmy Johnson Blvd Ste 302 Port Arthur TX 77640-2011 |
| Practice Telephone | 4097277342 |
| Mailing Telephone | 4097277342 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2018-05-06 |
| Authorized Official Name | DR. MICHAEL BADLISSI (MD/ PRESIDENT) |
| Authorized Official Telephone | 4097277342 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | P3115 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TYPE 1 NPI | 1770710337 | 01 |
| Street Address |
2501 JIMMY JOHNSON BLVD STE 302 |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1033640909 | Samreen Khuwaja | Internal Medicine | 4116 Blackberry Ln, Port Arthur, TX 77642-7209 | 2017-03-23 |
| 1376856039 | Fidelis Ajobome Okotie | Internal Medicine | 2555 Jimmy Johnson Boulevard, Port Arthur, TX 77640-2007 | 2010-07-22 |
| 1316096647 | Standard Medical Clinic, Pa | Internal Medicine | 8333 9th Ave., Suite A, Port Arthur, TX 77642-8151 | 2007-01-09 |
| 1164418752 | Luis A Medina | Internal Medicine | 3800 Highway 365, #119, Port Arthur, TX 77642-7526 | 2005-09-20 |
| 1982600227 | Prasada Rao Nalluri | Internal Medicine | 2001 9th Ave, Ste 201, Port Arthur, TX 77642-2703 | 2005-06-22 |
| 1548592413 | Margaret Lang-williams, Md Pa | Internal Medicine | 2501 Jimmy Johnson Blvd, 502, Port Arthur, TX 77640-2000 | 2010-02-03 |
| 1770710337 | Michael Badlissi | Internal Medicine | 2501 Jimmy Johnson Blvd, Suite 302, Port Arthur, TX 77640-2000 | 2009-06-22 |
| 1568613024 | Quantum Hospital Medicine Services of Texas Pa | Internal Medicine | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2008-10-02 |
| 1851479117 | Shahnaz Ali | Internal Medicine | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2006-11-02 |
| 1518047000 | Marsha Thigpen | Internal Medicine | 2548 Memorial Blvd, Port Arthur, TX 77640-2825 | 2006-10-17 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
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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.