Keith P Pensom Jr.
PORT ARTHUR EMERGENCY PHYSICIANS


Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Phone: 4098535400

Keith P Pensom Jr. (NPI# 1689878761, PAC ID# 8022901404) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1689878761
PAC ID by PECOS 8022901404
Professional Enrollment ID I20040209000140
Full Name Keith P Pensom Jr.
Organization Legal Name PORT ARTHUR EMERGENCY PHYSICIANS
Address 2555 Jimmy Johnson Blvd
Port Arthur
TX 77640-2007
Phone Number 4098535400
Gender M
Credential DO
Graduation Year 1996
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 6901905736
Number of Group Practice Members 24
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450518 THE MEDICAL CENTER OF SOUTHEAST TEXAS

Other Locations

Address Phone Organization
2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 4098535400 PORT ARTHUR EMERGENCY PHYSICIANS

Organization Information

Organization Legal Name PORT ARTHUR EMERGENCY PHYSICIANS
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Christine Carroll Emergency Medicine Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Kevin J Schwechten Family Medicine Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Shannon Keith Nurse Practitioner Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Jeffrey Gonzales Nurse Practitioner Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Steven W King Emergency Medicine Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Ismail Olayinka Adesanya Family Medicine Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Heath Redwine Nurse Practitioner Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Peter Shelby Evans Emergency Medicine Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Jacob Patrick Vigil Emergency Medicine Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Isaac Chan Emergency Medicine Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007

Office Location

Street Address 2555 JIMMY JOHNSON BLVD
City PORT ARTHUR
State TX
Zip 77640-2007

Physicians in the same location

Name Specialty Organization Address
Tho V Tran Psychiatry Permian Premier Health Services Inc 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Frank A Krull Pathology Baylor College of Medicine 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Adam G Newman Certified Registered Nurse Anesthetist (crna) Beaumont Hospital Holdings Inc 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Kathryn Williamson Family Medicine Permian Premier Health Services Inc 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Michael Bergal Family Medicine Permian Premier Health Services Inc 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Christine Carroll Emergency Medicine Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Kevin J Schwechten Family Medicine Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Jerry W Davis Certified Registered Nurse Anesthetist (crna) Beaumont Hospital Holdings Inc 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Shannon Keith Nurse Practitioner Port Arthur Emergency Physicians 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Hai T Vu Certified Registered Nurse Anesthetist (crna) Beaumont Hospital Holdings Inc 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Kenneth K Barton Maxillofacial Surgery 2770 Aero Dr, Port Arthur, TX 77640-1519
Loren T Nguyen Optometry Mid County Vision Insights, Pllc 8815 Memorial Blvd, Suite B, Port Arthur, TX 77640-1559
Thao Ly Phung Optometry Mid County Vision Insights, Pllc 8815 Memorial Blvd, Suite B, Port Arthur, TX 77640-1559
Gene E Jones Obstetrics/gynecology Unified Womens Healthcare of Texas Pllc 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002
Stephanie P Cunningham Obstetrics/gynecology Unified Womens Healthcare of Texas Pllc 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002
Triptesh K Chaudhury Radiation Oncology 2875 Jimmy Johnson Blvd, Suite 100, Port Arthur, TX 77640-2002
Sudhir K Alampur Gastroenterology Permian Premier Health Services Inc 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Gavin V Bruney Certified Registered Nurse Anesthetist (crna) Beaumont Hospital Holdings Inc 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Melissa Hardin Pathology Baylor College of Medicine 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007
Srinivasa R Kothapalli Cardiovascular Disease (cardiology) S K Rao Md Pa 2501 Jimmy Johnson Blvd, Suite 500, Port Arthur, TX 77640-2007
Find all physicians in zip 77640

Competitor

Search similar physicians

City PORT ARTHUR
Zip Code 77640
Specialty EMERGENCY MEDICINE
City + Specialty PORT ARTHUR + EMERGENCY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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