DR. EMMETT R. MACKAN II (NPI# 1326042722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326042722 |
| Entity Type | Individual |
| Full Name | DR. EMMETT R. MACKAN II |
| Credential | M.D. |
| Practice Address |
755 N 11th St Ste P3950 Beaumont TX 77702-1527 |
| Practice Telephone | 4098920099 |
| Practice Fax Number | 4098921911 |
| Mailing Telephone | 4098920099 |
| Mailing Fax Number | 4098921911 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | H2553 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127855801 | 05 | |
| TX | CIGNA | 2847607001 | 01 |
| TX | BLUECROSSBLUESHIELD | 82X590 | 01 |
| TX | AETNA | 4365640 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 251 Cully Dr, Suite B, Kerrville, TX 780286083 | 8308966262 |
| Street Address |
755 N 11TH ST STE P3950 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558595389 | Linda Michelle Bergal | Surgery | 755 N 11th St Ste P3950, Beaumont, TX 77702-1527 | 2009-05-07 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529955 | Matthew M Sooudi | Surgery | 980 Thomas Rd, Beaumont, TX 77706-4621 | 2017-10-18 |
| 1215163258 | Alex Ordonez | Surgery | 3406 College St Ste 101, Beaumont, TX 77701 | 2009-06-04 |
| 1427291533 | Camille Denise Blackledge | Surgery | 3406 College Street, Ste 101, Beaumont, TX 77701-7770 | 2009-04-20 |
| 1134317969 | Garrett K Peel | Surgery | 6025 Metropolitan Dr Ste 208, Beaumont, TX 77706 | 2007-10-05 |
| 1215147707 | Eric Tyler Wooten | Surgery | 2965 Harrison St Ste 211, Beaumont, TX 77702-1149 | 2007-05-23 |
| 1497892152 | East Texas Surgical Associates, Pa | Surgery | 350 Pine Street, Suite 1415, Beaumont, TX 77701-2441 | 2007-01-31 |
| 1760558100 | Gaylon Albert Gonzales | Surgery | 2900 North Street, Suite 203, Beaumont, TX 77702 | 2006-11-28 |
| 1124193925 | Mootha V Rao | Surgery | 4480 Thomas Park, Beaumont, TX 77706-7771 | 2006-11-21 |
| 1609971951 | Southeast Texas Surgical Associates, Pa | Surgery | 755 N. 11th Street, Suite P3950, Beaumont, TX 77702-1504 | 2006-09-13 |
| 1104807627 | Charles John Gutierrez | Surgery | 350 Pine St, Suite 1415, Beaumont, TX 77701-2441 | 2005-11-10 |
| Find all providers in BEAUMONT | ||||
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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.