EAST TEXAS WOMEN'S CLINIC (NPI# 1942484712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942484712 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS WOMEN'S CLINIC |
| Other Organization Name | CHARLES L FOUGEROUSSE MD |
| Practice Address |
401 Gaslight Blvd Lufkin TX 75904-3132 |
| Practice Telephone | 9366394417 |
| Mailing Telephone | 9366394463 |
| Mailing Fax Number | 9366394417 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | MRS. DONNA KAY GRIMES (OFFICE MANAGER) |
| Authorized Official Telephone | 9366394463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | F1548 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHARLES L FOUGEROUSSE MD | Former Legal Business Name - Organization |
| Street Address |
401 GASLIGHT BLVD |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659314383 | Charles L. Fougerousse | Obstetrics & Gynecology | 401 Gaslight Blvd, Lufkin, TX 75904-3132 | 2006-06-13 |
| 1770895120 | Michael L. Arnold, M.d., P.a. | Obstetrics & Gynecology | 401 Gaslight Blvd, Lufkin, TX 75904-3132 | 2010-07-13 |
| 1053336800 | Michael Laverne Arnold | Obstetrics & Gynecology | 401 Gaslight Blvd, Lufkin, TX 75904 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487721858 | Jerry L Johnson | Obstetrics & Gynecology | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | 2006-11-29 |
| 1851349732 | Sheila L Hill | Obstetrics & Gynecology | 121 Gaslight Medical Pkwy, Ste 102, Lufkin, TX 75904-3147 | 2006-05-04 |
| 1124378328 | Whs Obgyn Pllc | Obstetrics & Gynecology | 121 Gaslight Medical Pkwy, Ste 102, Lufkin, TX 75904-3147 | 2012-09-14 |
| 1205198561 | Rachael Elizabeth Sullivan | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 200, Lufkin, TX 75904-3303 | 2012-06-13 |
| 1174824510 | Jerry L Johnson Md Pa | Obstetrics & Gynecology | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | 2010-11-16 |
| 1770895120 | Michael L. Arnold, M.d., P.a. | Obstetrics & Gynecology | 401 Gaslight Blvd, Lufkin, TX 75904-3132 | 2010-07-13 |
| 1346420429 | Kaywin M Carter Md Facog & Associates | Obstetrics & Gynecology | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | 2007-11-06 |
| 1952599037 | Carolyn Marie Moyers | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 200, Lufkin, TX 75904-3303 | 2007-10-14 |
| 1093915142 | Cheryl Rene Suiter | Obstetrics & Gynecology | 402 Gaslight Blvd, Lufkin, TX 75904-3123 | 2007-07-18 |
| 1144427261 | Dixie Ann Mcclendon-coker | Obstetrics & Gynecology | 1105 W Frank Ave, Suite 110, Lufkin, TX 75904-3303 | 2007-07-02 |
| Find all providers in LUFKIN | ||||
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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.