SOUTHEAST TEXAS OB GYN ASSOCIATES PA (NPI# 1245361369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245361369 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST TEXAS OB GYN ASSOCIATES PA |
| Practice Address |
755 N 11th St Ste # P4200 Beaumont TX 77702-1501 |
| Practice Telephone | 4098991499 |
| Practice Fax Number | 4098991354 |
| Mailing Telephone | 4098991499 |
| Mailing Fax Number | 4098991354 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | MRS. MAUREEN MCAULIFFE (PRACTICE MANAGER) |
| Authorized Official Telephone | 4098991499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CLIA | 45D0959181 | 01 |
| TX | GROUP RAIL ROAD MEDICARE | CE8392 | 01 |
| TX | 085244401 | 05 |
| Street Address |
755 N 11TH ST STE # P4200 |
| 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 |
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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 | 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 |
|---|---|---|---|---|
| 1316504566 | Oliviarae, Pllc | Obstetrics & Gynecology | 16 Cottage Grove Ct, Beaumont, TX 77713-5100 | 2019-05-23 |
| 1164862512 | Sharae Johnson | Obstetrics & Gynecology | 755 N 11th St Ste P4200, Beaumont, TX 77702-1521 | 2013-06-30 |
| 1205826344 | Maxie C Sprott II | Obstetrics & Gynecology | 2627 Calder St, Beaumont, TX 77702-1916 | 2005-10-27 |
| 1104811413 | Gene Norman Barry | Obstetrics & Gynecology | 2900 North St Ste 310, Beaumont, TX 77702-1541 | 2005-09-13 |
| 1134511363 | Rick L Evans Md Pa | Obstetrics & Gynecology | 740 Hospital Dr, Suite 250, Beaumont, TX 77701-4664 | 2015-02-25 |
| 1689914434 | Cynthia E. Larson, D.o., P.a. | Obstetrics & Gynecology | 3070 College St, 207, Beaumont, TX 77701-4691 | 2013-02-14 |
| 1891060125 | Khalid Kaynai M.d Ob/ Gyn | Obstetrics & Gynecology | 3560 Delaware St, Suite 1203, Beaumont, TX 77706-3067 | 2012-03-20 |
| 1598037608 | Cynthia Renee Roland | Obstetrics & Gynecology | 4450 Highland Ave, Beaumont, TX 77705 | 2012-02-04 |
| 1952600744 | Shayla Nesbitt | Obstetrics & Gynecology | 2965 Harrison St Ste 313, Beaumont, TX 77702-1113 | 2011-03-20 |
| 1215268891 | Robert E. Hanson, M.d., P.a. | Obstetrics & Gynecology | 3470 Fannin St, Suite 1, Beaumont, TX 77701-3816 | 2010-01-21 |
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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.