MSONTHI B, LEVINE, PA (NPI# 1639576903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639576903 |
| Entity Type | Organization |
| Organization Name | MSONTHI B, LEVINE, PA |
| Practice Address |
3560 Delaware St Ste 1104 Beaumont TX 77706-3000 |
| Practice Telephone | 4093463721 |
| Practice Fax Number | 4098609078 |
| Mailing Telephone | 4093463721 |
| Mailing Fax Number | 4098609078 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | MSONTHI B LEVINE (OWNER) |
| Authorized Official Telephone | 4093473621 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP125323 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
K8650 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CMS # | 00517L | 01 |
| Street Address |
3560 DELAWARE ST STE 1104 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770518516 | Joseph Anthony Oommen | Psychiatry & Neurology | 3560 Delaware St Ste 1104, Beaumont, TX 77706-3000 | 2006-07-11 |
| 1528698693 | Hoang James Tuan Nguyen | Nurse Practitioner | 3560 Delaware St Ste 1104, Beaumont, TX 77706-3000 | 2020-01-17 |
| 1952870560 | Courtney Elizabeth Stokley | Physician Assistant | 3560 Delaware St Ste 1104, Beaumont, TX 77706-3000 | 2018-11-13 |
| 1891064200 | Smitha E Oommen Md Pllc | Internal Medicine | 3560 Delaware St Ste 1104, Beaumont, TX 77706-3000 | 2011-12-14 |
| 1568755544 | Joseph A Oommen Md Pllc | Psychiatry & Neurology | 3560 Delaware St Ste 1104, Beaumont, TX 77706-3000 | 2011-05-24 |
| 1184829764 | Smitha Elizabeth Oommen | Internal Medicine | 3560 Delaware St Ste 1104, Beaumont, TX 77706-3000 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1164430906 | Beaumont Internal Medicine & Geriatric Assoc. | Internal Medicine | 755 N 11th St, P-5200, Beaumont, TX 77702-1501 | 2006-08-04 |
| 1275540395 | Santos Marcelo Soberon | Internal Medicine | 755 N 11th St, Suite P-5200, Beaumont, TX 77702-1501 | 2006-08-02 |
| 1144237942 | George Ellis Thomas | Internal Medicine | 755 N 11th St, Suite P-5200, Beaumont, TX 77702-1501 | 2006-08-02 |
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| 1447882360 | Infinite Healthcare Solutions LLC | Internal Medicine | 1110 Southwood Ct, Lewisville, TX 75067-5045 | 2020-02-08 |
| 1629609060 | Good4u Family Clinic Dallas Fort Worth (dfw) Pllc | Internal Medicine | 1417 N Cockrell Hill Rd Ste 101a, Dallas, TX 75211-1308 | 2020-02-03 |
| 1841830288 | Kennosa Kensha Gunn | Internal Medicine | 1300 Bay Area Blvd Ste 150, Houston, TX 77058-2505 | 2020-01-14 |
| 1679135420 | Pai Participant 9 Pa | Internal Medicine | 1550 Waters Ridge Dr, Lewisville, TX 75057-6011 | 2019-07-02 |
| 1972067718 | Primary & Palliative Home Care, Pllc | Internal Medicine | 8901 Emmett Lowry Expwy Suite A, Texas City, TX 77591 | 2019-01-25 |
| 1063986701 | Siddique Medical Associates Pllc | Internal Medicine | 2609 Webster Dr, Plano, TX 75075-6666 | 2019-01-16 |
| 1780198044 | Lucy E Quinn | Internal Medicine | 3910 Desert Springs Ln, Fulshear, TX 77441 | 2017-11-24 |
| 1457861411 | Apex House Calls, LLC | Internal Medicine | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | 2017-10-04 |
| 1669994570 | Mina Health Services, LLC | Internal Medicine | 8811 Teel Pkwy Ste 100, Frisco, TX 75035-4201 | 2017-07-12 |
| 1679023410 | Siddique Medical Associates Pa | Internal Medicine | 1611 Bryce Canyon Ln, Allen, TX 75002-2696 | 2016-10-05 |
| 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.