PETER J MACANDER (NPI# 1285613851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285613851 |
| Entity Type | Individual |
| Full Name | PETER J MACANDER |
| Credential | MD |
| Practice Address |
703 E Marshall Ave Ste 5008 Longview TX 75601 |
| Mailing Address |
Po Box 86098 Dallas TX 75284-6098 |
| Practice Telephone | 9033154880 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
S0731 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
04-27251 | KS | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
04-27251 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100301810D | 05 | |
| TX | MEDICARE RAIL ROAD | P02220467 | 01 |
| TX | 396191401 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 703 E Marshall Ave Ste 5008, Longview, TX 75601 | 9033154880 |
| Street Address |
703 E MARSHALL AVE STE 5008 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962908848 | Muhie Dean N/a Sabayon | Internal Medicine | 703 E Marshall Ave Ste 5008, Longview, TX 75601-5557 | 2018-04-01 |
| 1306340690 | Brandon G Bryant | Nurse Practitioner | 703 E Marshall Ave Ste 5008, Longview, TX 75601-5557 | 2018-03-21 |
| 1215271481 | Lamont A Davis | Nurse Practitioner | 703 E Marshall Ave Ste 5008, Longview, TX 75601 | 2012-11-12 |
| 1306850227 | Shafik Hanna-moussa | Internal Medicine | 703 E Marshall Ave Ste 5008, Longview, TX 75601-5557 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1225094956 | Rajeev Singh | Internal Medicine | 709 Hollybrook Dr Ste 2301, Longview, TX 75605-2412 | 2006-04-21 |
| 1316909419 | James Anthony Suero | Internal Medicine | 1615 Deleware, Specialties Clinic, Longview, WA 98632 | 2006-04-04 |
| 1740714534 | Dhruv Rajpurohit | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2017-04-18 |
| 1174942643 | Olubadewa Fatunde | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2014-04-14 |
| 1528323953 | Khashayar Kash Vahdat | Internal Medicine | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2012-07-11 |
| 1235333808 | Jonathan David Greifenkamp | Internal Medicine | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2411 | 2007-06-14 |
| 1275543274 | James Edward Farr Jr. | Internal Medicine | 1205 E Marshall Ave, Va Medical Clinic, Longview, TX 75601-5649 | 2006-08-09 |
| 1295740702 | Mark Thomas Hattenhauer | Internal Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2006-07-31 |
| 1306850227 | Shafik Hanna-moussa | Internal Medicine | 703 E Marshall Ave Ste 5008, Longview, TX 75601-5557 | 2006-07-28 |
| 1043287816 | Samir V Germanwala | Internal Medicine | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2411 | 2006-03-01 |
| Find all providers in LONGVIEW | ||||
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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.