DR. SANTOS MARCELO SOBERON


Address: 755 N 11th St, Suite P-5200, Beaumont, TX 77702-1501
Phone: 4098982994

DR. SANTOS MARCELO SOBERON (NPI# 1275540395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275540395
Entity Type Individual
Full Name DR. SANTOS MARCELO SOBERON
Credential M.D.
Practice Address 755 N 11th St
Suite P-5200
Beaumont
TX 77702-1501
Practice Telephone 4098982994
Practice Fax Number 4098995542
Mailing Telephone 4098982994
Mailing Fax Number 4098995542
Enumeration Date 2006-08-02
Last Update Date 2014-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
H0107 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 755 N 11TH ST
SUITE P-5200
City BEAUMONT
State TX
Zip Code 77702-1501

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164430906 Beaumont Internal Medicine & Geriatric Assoc. Internal Medicine 755 N 11th St, P-5200, Beaumont, TX 77702-1501 2006-08-04
1144237942 George Ellis Thomas Internal Medicine 755 N 11th St, Suite P-5200, Beaumont, TX 77702-1501 2006-08-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447882360 Infinite Healthcare Solutions LLC Internal Medicine 1110 Southwood Ct, Lewisville, TX 75067-5045 2020-02-08
1629609060 Good4u Family Clinic Dallas Fort Worth (dfw) Pllc Internal Medicine 1417 N Cockrell Hill Rd Ste 101a, Dallas, TX 75211-1308 2020-02-03
1841830288 Kennosa Kensha Gunn Internal Medicine 1300 Bay Area Blvd Ste 150, Houston, TX 77058-2505 2020-01-14
1679135420 Pai Participant 9 Pa Internal Medicine 1550 Waters Ridge Dr, Lewisville, TX 75057-6011 2019-07-02
1972067718 Primary & Palliative Home Care, Pllc Internal Medicine 8901 Emmett Lowry Expwy Suite A, Texas City, TX 77591 2019-01-25
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
1669994570 Mina Health Services, LLC Internal Medicine 8811 Teel Pkwy Ste 100, Frisco, TX 75035-4201 2017-07-12
1679023410 Siddique Medical Associates Pa Internal Medicine 1611 Bryce Canyon Ln, Allen, TX 75002-2696 2016-10-05
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Competitor

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City BEAUMONT
Zip Code 77702

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Dataset Information

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.

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