GRIGORIY TSOTNEEVICH RODONAIA (NPI# 1023210317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023210317 |
| Entity Type | Individual |
| Full Name | GRIGORIY TSOTNEEVICH RODONAIA |
| Credential | M.D. PA |
| Practice Address |
2955 Harrison St Ste. 200 Beaumont TX 77702-1154 |
| Practice Telephone | 4099231617 |
| Practice Fax Number | 4099231618 |
| Mailing Telephone | 4099231617 |
| Mailing Fax Number | 4099231618 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M6986 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PENDING | 05 | |
| TX | BCBS | 8BX338 | 01 |
| Street Address |
2955 HARRISON ST STE. 200 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233501 | Physicians Cardiovascular Diagnostic Center, L.l.p. | Clinic/Center | 2955 Harrison St, Ste 300, Beaumont, TX 77702-1157 | 2005-05-31 |
| 1861883696 | Marie Auchenbach | Nurse Practitioner | 2955 Harrison St, Suite # 204, Beaumont, TX 77702-1154 | 2015-02-16 |
| 1760823579 | Rhonda Kay Reed | Nurse Practitioner | 2955 Harrison St, #204, Beaumont, TX 77702-1154 | 2013-07-09 |
| 1669760989 | Karen Theriot | Nurse Practitioner | 2955 Harrison St, Ste 307, Beaumont, TX 77702-1154 | 2011-07-20 |
| 1215233374 | Cardiac Cath Lab of Beaumont, Lp | Clinic/Center | 2955 Harrison St, Suite 302, Beaumont, TX 77702-1154 | 2011-02-07 |
| 1457593626 | Traci Vaughn, M.d., P.a. | Otolaryngology | 2955 Harrison St, Suite 204, Beaumont, TX 77702-1154 | 2009-04-02 |
| 1497992127 | Grigoriy Rodonaia Md Pa | Clinic/Center | 2955 Harrison St, Ste 200, Beaumont, TX 77702-1154 | 2009-01-16 |
| 1073772224 | Ajith Kuriakose | Internal Medicine | 2955 Harrison St, Suite 100, Beaumont, TX 77702-1155 | 2008-06-03 |
| 1386858405 | Heartfield E Linn Md Pa | Otolaryngology | 2955 Harrison St, Suite 320, Beaumont, TX 77702-1154 | 2007-05-09 |
| 1801900519 | Cardiovascular Imaging Inc | Clinic/Center | 2955 Harrison St, Suite 105, Beaumont, TX 77702-1154 | 2006-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481043 | Alicia Georgetown | Family Medicine | 6920 Glen Willow Dr, Beaumont, TX 77706-4112 | 2020-09-12 |
| 1568085108 | Partners In Primary Care Tx, Pa | Family Medicine | 4886 Dowlen Rd, Beaumont, TX 77708-4828 | 2020-05-18 |
| 1447890397 | Texas Center for Health, Pllc | Family Medicine | 2965 Harrison St Ste 317, Beaumont, TX 77702-1150 | 2020-01-08 |
| 1821636598 | Sara Marie Devine | Family Medicine | 34425 Venturi Ave, Beaumont, CA 92223-7472 | 2019-12-12 |
| 1558839076 | Permian Premier Health Services Inc | Family Medicine | 2929 Calder St Ste 100, Beaumont, TX 77702-1841 | 2018-11-02 |
| 1245788629 | Beaumont Primary Healthcare, Pllc | Family Medicine | 3510 Prescott Dr, Beaumont, TX 77706-6349 | 2016-09-14 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| 1619394756 | Pranav Bhatt | Family Medicine | 3030 North St Ste 420, Beaumont, TX 77702-1434 | 2014-03-26 |
| 1588811731 | Prasad L Surapaneni | Family Medicine | 5430 Knauth Rd, Beaumont, TX 77705 | 2008-08-19 |
| 1396902672 | Ramya Hullur Subramanyam | Family Medicine | 3580 Prescott Dr, Beaumont, TX 77706-6349 | 2008-05-22 |
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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.