DR. SUJIN YU (NPI# 1710987672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710987672 |
| Entity Type | Individual |
| Full Name | DR. SUJIN YU |
| Credential | MD |
| Practice Address |
6025 Metropolitan Dr Suite 205 Beaumont TX 77706-2407 |
| Practice Telephone | 4092347088 |
| Practice Fax Number | 4098928237 |
| Mailing Telephone | 4092347088 |
| Mailing Fax Number | 4098928237 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2014-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | K2142 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | 130025171 | 01 |
| TX | 030255603 | 05 | |
| TX | BCBS PROVIDER ID | 8F3762 | 01 |
| TX | TRICARE/CHAMPUS | A004 | 01 |
| TX | GROUP BCBS | 0020HD | 01 |
| TX | CIGNA | 4649893001 | 01 |
| TX | 148913001 | 05 | |
| TX | AETNA | 5194643 | 01 |
| Street Address |
6025 METROPOLITAN DR SUITE 205 |
| 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 |
| 1679954168 | Metropolitanc Drive Medical Center | Surgery | 6025 Metropolitan Dr, 205a, Beaumont, TX 77706-2407 | 2015-06-10 |
| 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 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810306 | Abc Surgical, LLC | Specialist | 6 Twin Circle Dr, Beaumont, TX 77706-5304 | 2020-04-24 |
| 1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
| 1265845978 | Jeremy Wampler | Specialist | 1676 E 6th St, Suite C, Beaumont, CA 92223-5760 | 2014-06-10 |
| 1649683632 | Dowlen Center for Pain LLC | Specialist | 6025 Metropolitan Dr Ste 200, Beaumont, TX 77706-2409 | 2014-06-06 |
| 1366659344 | Harry Whiteside | Specialist | 8750 Phelan Blvd, Beaumont, TX 77706-5133 | 2007-05-17 |
| 1316075013 | Plastic Surgery Associates LLP | Specialist | 950 N 11th St, Beaumont, TX 77702-1203 | 2007-03-02 |
| 1831270156 | Beaumont Radiology Group, LLP | Specialist | 4890 Dowlen Rd, Beaumont, TX 77708-4828 | 2006-10-17 |
| 1497774335 | Maria Luz Dayrit | Specialist | 4027 Dowlen Rd, Beaumont, TX 77706-6850 | 2006-07-19 |
| 1023050341 | Brent Lee Mainwaring | Specialist | 3405 College St, Beaumont, TX 77701-4613 | 2006-06-12 |
| 1275500647 | Jane C Angel | Specialist | 5035 Oakmont Dr, Beaumont, TX 77706-7640 | 2006-03-03 |
| 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.