IOM OPI LLC (NPI# 1578198990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578198990 |
| Entity Type | Organization |
| Organization Name | IOM OPI LLC |
| Practice Address |
3080 E Lakeside Dr Beaumont TX 77707-2400 |
| Mailing Address |
Po Box 20514 Beaumont TX 77720-0514 |
| Practice Telephone | 4097490200 |
| Practice Fax Number | 4093478083 |
| Mailing Telephone | 4099240004 |
| Mailing Fax Number | 4093478083 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | MR. BARRY DAVID DUBOSE (FOUNDER) |
| Authorized Official Telephone | 4097490200 |
| Authorized Official Credential | C.N.I.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3080 E LAKESIDE DR |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689199382 | Alexander Francis Schrapps | Specialist/Technologist, Other | 4337 Crow Rd Ste B, Beaumont, TX 77706-6995 | 2017-08-03 |
| 1417161258 | Barry David Dubose | Specialist/Technologist, Other | 2626 Calder St, Ste. 101, Beaumont, TX 77702-1952 | 2007-05-10 |
| 1376059832 | Kimberly Gary | Specialist/Technologist, Other | 950 N 11th St, Beaumont, TX 77702-1203 | 2017-12-20 |
| 1407061138 | Neuro Serve L.L.C. | Specialist/Technologist, Other | 2626 Calder St, Ste. 101, Beaumont, TX 77702-1952 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154936706 | Austin A Almeida | Specialist/Technologist, Other | 6636 Deming Dr, Waco, TX 76712-7580 | 2020-09-10 |
| 1902411556 | Natalie Lily Avshman | Specialist/Technologist, Other | 10410 Legacy Cv, San Antonio, TX 78240-4421 | 2020-09-10 |
| 1124633706 | Andrea Monserrat Hernandez | Specialist/Technologist, Other | 9018 Savannah Loop, Laredo, TX 78046-5180 | 2020-09-10 |
| 1427661347 | Trumed Health Partners, LLC | Specialist/Technologist, Other | 5899 Preston Rd Ste 303, Frisco, TX 75034-9588 | 2020-08-29 |
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1790301216 | Kenslie A Dews | Specialist/Technologist, Other | 114 Dews Dr, Whitehouse, TX 75791-5002 | 2020-06-20 |
| 1558996058 | Careus Iom | Specialist/Technologist, Other | 17222 Kendall Ridge Ln, Houston, TX 77095-5199 | 2020-03-05 |
| 1114552627 | Caretact Management, LLC | Specialist/Technologist, Other | 5407 Southern Oaks, San Antonio, TX 78261-2485 | 2020-03-04 |
| 1063043503 | Forefront Medical Solutions, LLC. | Specialist/Technologist, Other | 7401 Boca Raton Dr, North Richland Hills, TX 76182-3265 | 2020-02-03 |
| 1235760489 | Chloe Vingee | Specialist/Technologist, Other | 818 Lonesome Dove Dr, Midlothian, TX 76065-2439 | 2020-01-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IOM OPI LLC.
| 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.