BEAUMONT INTERNAL MEDICINE & GERIATRIC ASSOC. (NPI# 1164430906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164430906 |
| Entity Type | Organization |
| Organization Name | BEAUMONT INTERNAL MEDICINE & GERIATRIC ASSOC. |
| Other Organization Name | GEORGE E THOMAS & ASSOC. |
| Practice Address |
755 N 11th St P-5200 Beaumont TX 77702-1501 |
| Practice Telephone | 4098982994 |
| Practice Fax Number | 4098995542 |
| Mailing Telephone | 4098982994 |
| Mailing Fax Number | 4098995542 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | DR. SANTOS MARCELO SOBERON (PRESIDENT) |
| Authorized Official Telephone | 4098982994 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 093730201 | 05 |
| Other Name | Type Code |
|---|---|
| GEORGE E THOMAS & ASSOC. | Former Legal Business Name - Organization |
| Street Address |
755 N 11TH ST P-5200 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293909 | Alfred B. Brady Jr. | Internal Medicine | 755 N 11th St, Ste P2200, Beaumont, TX 77702-1500 | 2005-05-23 |
| 1285171256 | Lance T. Mendoza | Nurse Anesthetist, Certified Registered | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2017-01-27 |
| 1235676487 | Brittany Syphrett | Nurse Practitioner | 755 N 11th St, Suite P-5200, Beaumont, TX 77702-1500 | 2017-01-26 |
| 1164974705 | Fidel Gonzalez | Nurse Practitioner | 755 N 11th St, Suite P-3950, Beaumont, TX 77702-1500 | 2016-10-31 |
| 1417409285 | Beaumont Asc, Lp | Clinic/Center | 755 N 11th St, Suite P3970b, Beaumont, TX 77702-1500 | 2016-10-27 |
| 1568816098 | Stephanie Angela Williams | Nurse Practitioner | 755 N 11th St, Suite P5200, Beaumont, TX 77702-1500 | 2016-04-21 |
| 1578931598 | Florencia Espinal | Nurse Anesthetist, Certified Registered | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2015-09-08 |
| 1467837088 | Joseph Brottem, Crna | Nurse Anesthetist, Certified Registered | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2015-07-24 |
| 1356731129 | John E Hoffpauir | Nurse Anesthetist, Certified Registered | 755 N 11th St, Suite P3600, Beaumont, TX 77702-1500 | 2015-01-30 |
| 1689076549 | Lauren Jordan Barrera | Nurse Practitioner | 755 N 11th St, Suite P5200, Beaumont, TX 77702-1500 | 2014-09-23 |
| Find all providers in the same location | ||||
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1275540395 | Santos Marcelo Soberon | Internal Medicine | 755 N 11th St, Suite P-5200, Beaumont, TX 77702-1501 | 2006-08-02 |
| 1144237942 | George Ellis Thomas | Internal Medicine | 755 N 11th St, Suite P-5200, Beaumont, TX 77702-1501 | 2006-08-02 |
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| 1063986701 | Siddique Medical Associates Pllc | Internal Medicine | 2609 Webster Dr, Plano, TX 75075-6666 | 2019-01-16 |
| 1780198044 | Lucy E Quinn | Internal Medicine | 3910 Desert Springs Ln, Fulshear, TX 77441 | 2017-11-24 |
| 1457861411 | Apex House Calls, LLC | Internal Medicine | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | 2017-10-04 |
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| 1679023410 | Siddique Medical Associates Pa | Internal Medicine | 1611 Bryce Canyon Ln, Allen, TX 75002-2696 | 2016-10-05 |
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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.