STEPHEN C WEATHERFORD (NPI# 1285738930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285738930 |
| Entity Type | Individual |
| Full Name | STEPHEN C WEATHERFORD |
| Credential | MD |
| Practice Address |
2501 Jimmy Johnson Blvd Suite 201 Port Arthur TX 77640-2000 |
| Practice Telephone | 4098535288 |
| Practice Fax Number | 4098535274 |
| Mailing Telephone | 4098535288 |
| Mailing Fax Number | 4098535274 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | F2098 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 123423903 | 05 |
| Street Address |
2501 JIMMY JOHNSON BLVD SUITE 201 |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913466 | Uma Sukhavasi | Family Medicine | 2501 Jimmy Johnson Blvd, Ste 301, Port Arthur, TX 77640-2007 | 2005-06-21 |
| 1699181784 | Heart & Lung Center of Southeast Texas Pa | Internal Medicine | 2501 Jimmy Johnson Blvd, Ste 406, Port Arthur, TX 77640-2013 | 2014-07-09 |
| 1699198754 | Melissa Christine Mckey | Nurse Practitioner | 2501 Jimmy Johnson Blvd, Suite 405, Port Arthur, TX 77640-2000 | 2014-01-27 |
| 1770918013 | Mohamed D Vadva Md Pa | Internal Medicine | 2501 Jimmy Johnson Blvd, Siute 204, Port Arthur, TX 77640-2000 | 2013-09-05 |
| 1104104207 | Tho Van Tran | Psychiatry & Neurology | 2501 Jimmy Johnson Blvd, Suite 501, Port Arthur, TX 77640-2000 | 2011-07-25 |
| 1881901007 | Kristine Elizabeth Banks | Orthopaedic Surgery | 2501 Jimmy Johnson Blvd, Suite 304, Port Arthur, TX 77640-2000 | 2010-09-09 |
| 1548592413 | Margaret Lang-williams, Md Pa | Internal Medicine | 2501 Jimmy Johnson Blvd, 502, Port Arthur, TX 77640-2000 | 2010-02-03 |
| 1770710337 | Michael Badlissi | Internal Medicine | 2501 Jimmy Johnson Blvd, Suite 302, Port Arthur, TX 77640-2000 | 2009-06-22 |
| 1568608537 | Prucare Home Health Agency, Pllc | Home Health | 2501 Jimmy Johnson Blvd, Suite 404, Port Arthur, TX 77640-2000 | 2008-12-22 |
| 1376705947 | Pickard Gossett Sawisky LLP | Family Medicine | 2501 Jimmy Johnson Blvd, Ste 307, Port Arthur, TX 77640-2000 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349946 | Lawrence R Hamner IIi Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Jimmy Johnson Blvd Ste 207, Port Arthur, TX 77640-2011 | 2020-03-01 |
| 1053347393 | Southeast Texas Heart and Lung Surgeons, LLP | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Jimmy Johnson Blvd., Suite 201, Port Arthur, TX 77640-2900 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915894 | Branislav Stojkovic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6431 Fannin St Ste Jjl S-86, Houston, TX 77030-1501 | 2020-09-08 |
| 1275173379 | Houston Cardiothoracic and Vein Surgeons, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 St Joseph Pkwy Ste 1005, Houston, TX 77002-8205 | 2020-01-07 |
| 1861962003 | Brownsville Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 E Alton Gloor Blvd Bldg B, Brownsville, TX 78526-3328 | 2018-11-30 |
| 1326523077 | Southeast Texas Cardiac LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Fm 1960 Bypass Rd W Ste 303, Humble, TX 77338-4019 | 2018-09-28 |
| 1982119061 | Elite Heart, Lung, and Vein Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2406 Ellis Park Ln, Conroe, TX 77304-2938 | 2017-12-11 |
| 1376076869 | Kitten Cardiovascular Associates Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118 Shenandoah Drive, Suite A, Shenandoah, TX 77381-1203 | 2017-04-11 |
| 1003360116 | William E Wallace Do | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6007 Hillbrook Dr, Colleyville, TX 76034-5323 | 2016-08-05 |
| 1104284959 | Lm Duvall Enterprises | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41922 N Mill Dr, Magnolia, TX 77354-1850 | 2016-02-08 |
| 1457734618 | John Kirchmer Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2195 Thomas Rd, Beaumont, TX 77706-2837 | 2015-07-07 |
| 1326470592 | Jonathan Spicer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1515 Holcombe Blvd Unit 1489, Department of Thoracic and Cardiovascular Surgery, Houston, TX 77030-4000 | 2013-07-30 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
Please comment or provide details below to improve the information on STEPHEN C WEATHERFORD.
| 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.