DR. SIDHARTH JAIN (NPI# 1609290899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609290899 |
| Entity Type | Individual |
| Full Name | DR. SIDHARTH JAIN |
| Credential | M.D. |
| Practice Address |
700 E Marshall Ave Longview TX 75601-5580 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9033151488 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD-44929 | IA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | Q5441 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 35.123640 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8KU309 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3421 W 9th St, Waterloo, IA 507025401 | 3192728349 | 3192728355 |
| 700 E Marshall Ave, Longview, TX 75601 | 9033151488 | |
| 811 S Washington Ave, Marshall, TX 756705336 | 9033151488 | 9033151656 |
| Street Address |
700 E MARSHALL AVE |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629990 | Sushama S Brimmer | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2005-06-17 |
| 1760091193 | Josslyn Hastie Morgan | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2020-07-31 |
| 1063058220 | Joseph Alton Mcree | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-11-22 |
| 1477103414 | Dominique S. Harnage | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-09-11 |
| 1831756444 | Lakshay Jain | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-05-20 |
| 1104480383 | Rachel Mcfarland | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2019-04-23 |
| 1407336977 | Jennifer Michelle Wood | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2018-08-15 |
| 1760971105 | Joyce Ebobosere Gentry | Nurse Practitioner | 700 E Marshall Ave, Longview, TX 75601-5580 | 2018-05-01 |
| 1609373943 | Peter Mcneill | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601 | 2018-04-12 |
| 1932606241 | Arti Khatri | Student in an Organized Health Care Education/Training Program | 700 E Marshall Ave, Longview, TX 75601 | 2018-04-12 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1841843075 | Mhpc Dallas Pllc | Internal Medicine | 3080 N Eastman Rd Ste 101, Longview, TX 75605-7978 | 2019-07-17 |
| 1306210620 | Edward Eugene Smith Md | Internal Medicine | 240 Imperial Dr, Longview, WA 98632-0704 | 2015-11-24 |
| 1972992683 | Sarat Jampana LLC | Internal Medicine | 1202 Secluded Ln, Longview, TX 75604-2859 | 2015-01-19 |
| 1801208673 | Makona Snf, LLC | Internal Medicine | 1016 Riverwood Dr, Longview, TX 75604-6229 | 2014-05-28 |
| 1093145070 | Raj Kumar Akula | Internal Medicine | 1130 E Hawkins Pkwy, Apt 6301, Longview, TX 75605-8002 | 2013-11-12 |
| 1558705814 | Jessica Small Garner | Internal Medicine | 701 E Marshall Ave Ste 200, Longview, TX 75601-5544 | 2013-04-17 |
| 1730453051 | Wendell D. Daniels M.d., P.a. | Internal Medicine | 515 N. 3rd St., Longview, TX 75606 | 2012-03-05 |
| 1467689158 | Helen C Daniel | Internal Medicine | 802 Medical Dr Ste 201, Longview, TX 75605-5202 | 2009-06-19 |
| 1235394487 | Nishit Kumar Srivastava | Internal Medicine | 701 E Marshall Ave Ste 400, Longview, TX 75601-5595 | 2008-07-26 |
| 1649459595 | Sanjay G Reddy | Internal Medicine | 802 Medical Dr Ste 205, Longview, TX 75605-5208 | 2007-10-29 |
| 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.