DR. LIJO JOHN (NPI# 1295050037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295050037 |
| Entity Type | Individual |
| Full Name | DR. LIJO JOHN |
| Credential | MD |
| Practice Address |
1300 N 4th St Longview TX 75601-4717 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 9037572122 |
| Practice Fax Number | 9037579475 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722342987 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | P7933 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
P7933 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 336215402 | 05 | |
| TX | 336215401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699160788 | Lijo John | Pharmacist | 135 Rosewood Ave, Springfield, NJ 07081-4202 | 2015-04-06 |
| 1639552029 | Lijo John | Podiatrist | 1108 S Kedzie Ave, Chicago, IL 60612-3935 | 2015-07-02 |
| Street Address |
1300 N 4TH ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412468 | Amy J Stacey | Physician Assistant | 1300 N 4th St, Longview, TX 75601-4717 | 2005-07-28 |
| 1215581905 | Christi Nichols Williams | Registered Nurse | 1300 N 4th St, Longview, TX 75601-4717 | 2019-07-30 |
| 1447534854 | Devin F Brecheen | Physician Assistant | 1300 N 4th St, Longview, TX 75601-4717 | 2011-10-04 |
| 1144554577 | Joseph Charles Hodges II | Radiology | 1300 N 4th St, Longview, TX 75601-4717 | 2009-10-02 |
| 1629246574 | Charlsie Gillcoat | Nurse Practitioner | 1300 N 4th St, Longview, TX 75601-4717 | 2008-02-13 |
| 1629269774 | Matei Paul Socoteanu | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2007-08-05 |
| 1841361318 | Eileen B Herbeck | Pharmacist | 1300 N 4th St, Longview, TX 75601-4717 | 2006-11-13 |
| 1235145558 | Monica Sue Ann White | Nurse Practitioner | 1300 N 4th St, Longview, TX 75601-4717 | 2006-07-31 |
| 1851334759 | Neeraj Roshanial Sharma | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2006-06-14 |
| 1821031253 | Lewis Alvin Duncan | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2006-06-14 |
| Find all providers in the same location | ||||
| 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 | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851334759 | Neeraj Roshanial Sharma | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2006-06-14 |
| 1821031253 | Lewis Alvin Duncan | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2006-06-14 |
| 1942242995 | Larry Lynn Frase | Internal Medicine | 1300 N 4th St, Longview, TX 75601-4717 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447636857 | Carl Plager | Internal Medicine | 5151 Edloe Street, Apt. 5406, Houston, TX 77005-1187 | 2015-08-07 |
| 1730560525 | Michael Burgess | Internal Medicine | 300 Zapata Ave, Rancho Viejo, TX 78575-9654 | 2015-06-17 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1881018760 | Giora M. Mavligit | Internal Medicine | 2400 N. Braeswood, #211, Houston, TX 77030 | 2014-02-12 |
| 1396184354 | David Hsieh | Internal Medicine | 2201 Inwood Road 3rd Floor Nc3.500, Dallas, TX 75390 | 2013-06-22 |
| 1790124113 | William Stanley Gore | Internal Medicine | 570 Beechwood Loop, Hemphill, TX 75948-6615 | 2013-06-19 |
| 1679919963 | Olufunke Akinbobuyi | Internal Medicine | 2205 West Walker Street, League City, TX 77573 | 2013-05-14 |
| 1659715357 | Natasha Baldev Hirani | Internal Medicine | 1450 E League City Pkwy, League City, TX 77573 | 2013-04-24 |
| 1154676146 | Rossa Khalaf | Internal Medicine | 7812 Gateway Blvd E Ste 110, El Paso, TX 79915-1811 | 2012-07-17 |
| 1275808222 | Debra Louise Caudy | Internal Medicine | 6620 Golf Dr, Dallas, TX 75205-1212 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
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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.