CHRISTUS HEALTH ARK-LA-TEX (NPI# 1790162238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790162238 |
Entity Type | Organization |
Organization Name | CHRISTUS HEALTH ARK-LA-TEX |
Other Organization Name | CHRISTUS ST MICHAEL ONCOLOGY CLINIC |
Practice Address |
2604 Saint Michael Dr Ste 238 Texarkana TX 75503-2379 |
Practice Telephone | 9036142112 |
Practice Fax Number | 9036146862 |
Mailing Telephone | 9036142112 |
Mailing Fax Number | 9036146862 |
Enumeration Date | 2015-05-05 |
Last Update Date | 2016-02-25 |
Authorized Official Name | CHRIS KARAM (CEO) |
Authorized Official Telephone | 9036141000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
CHRISTUS St Michael Oncology Clinic | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205399961 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3205, Texarkana, TX 75503-9766 | 2019-04-10 |
1720541410 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3218, Texarkana, TX 75503-9766 | 2019-04-09 |
1467591396 | Christus Health Ark-la-tex | Pharmacist | 2604 Saint Michael Dr Ste 200, Texarkana, TX 75503-2378 | 2007-02-06 |
1467453902 | Christus Health Ark-la-tex | Rehabilitation Hospital | 2400 Saint Michael Dr, Texarkana, TX 75503-2374 | 2005-08-09 |
1851930895 | Christus Health Ark-la-tex | Pharmacy | 2604 Saint Michael Dr Ste 200, Texarkana, TX 75503-2378 | 2019-12-21 |
1174947618 | Christus Health Ark-la-tex | General Practice | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2014-02-04 |
1710301254 | Christus Health Ark-la-tex | General Practice | 2400 Saint Michael Dr, Texarkana, TX 75503-2374 | 2014-02-04 |
1740603521 | Christus Health Ark-la-tex | General Practice | 2604 Saint Michael Dr, 1st Floor, Texarkana, TX 75503-2379 | 2014-01-29 |
1871916650 | Christus Health Ark-la-tex | General Practice | 1007 S William St, Atlanta, TX 75551-3245 | 2014-01-29 |
1922344332 | Christus Health Ark-la-tex | Home Health | 1007 S William St, Atlanta, TX 75551-3245 | 2012-12-13 |
Street Address |
2604 SAINT MICHAEL DR STE 238 |
City | TEXARKANA |
State | TX |
Zip Code | 75503-2379 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407841984 | Texarkana Cardiovascular & Thoracic Surgical Associates Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2604 Saint Michael Dr, Suite 425, Texarkana, TX 75503-2379 | 2005-09-12 |
1265988208 | Kellie Lyn Flaherty | Physician Assistant | 2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503-2379 | 2016-08-30 |
1932571577 | Kimberly Scott | Nurse Practitioner | 2604 Saint Michael Dr, Ste 239, Texarkana, TX 75503-2379 | 2015-10-22 |
1740603521 | Christus Health Ark-la-tex | General Practice | 2604 Saint Michael Dr, 1st Floor, Texarkana, TX 75503-2379 | 2014-01-29 |
1780018143 | Yolanda Bone | Nurse Practitioner | 2604 Saint Michael Dr, Suite 238, Texarkana, TX 75503-2379 | 2013-08-21 |
1295047918 | Olubunmi A Ojelade | Family Medicine | 2604 Saint Michael Dr, Ste 340, Texarkana, TX 75503-2379 | 2010-07-10 |
1235369307 | Hesham Hazin | Internal Medicine | 2604 Saint Michael Dr, Ste 238, Texarkana, TX 75503-2379 | 2009-07-22 |
1114173754 | Rajeev Jayendra Patel | Internal Medicine | 2604 Saint Michael Dr, Suite 345, Texarkana, TX 75503-2379 | 2008-08-14 |
1881874394 | Charles Brady Humphrey | Physician Assistant | 2604 Saint Michael Dr, Ste 425, Texarkana, TX 75503-2379 | 2007-11-13 |
1356521421 | Kevin Randall Hayes | Internal Medicine | 2604 Saint Michael Dr, Suite 345, Texarkana, TX 75503-2379 | 2007-11-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205399961 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3205, Texarkana, TX 75503-9766 | 2019-04-10 |
1801869235 | Edward Armand Eichler Jr. | Internal Medicine | 2604 St. Michael Dr, Suite 210, Texarkana, TX 75503 | 2006-02-08 |
1063410637 | Jayendra D. Patel | Internal Medicine | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2005-07-08 |
1588715916 | Sunil A Patel | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2007-01-13 |
1114909934 | Collom & Carney Clinic | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-17 |
1336149731 | Gary P Engstrom | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
1417485822 | Ahmad Ghorab | Internal Medicine | 1515 Holcombe Blvd #1445, Houston, TX 77030 | 2017-05-30 |
1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
1366981615 | Houston Cancer Treatment Centers Pa. | Internal Medicine | 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 | 2017-02-20 |
1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
1245642073 | Juan Francisco Garza | Internal Medicine | 3333 Bayshore Blvd Ste 320, Pasadena, TX 77504-1950 | 2014-05-28 |
1124463211 | Oluchi Oke | Internal Medicine | 1515 Holcombe Blvd Unit 463, Division of Cancer Medicine, Houston, TX 77030-4000 | 2013-05-03 |
1710229323 | Adaeze Nwosu- Iheme | Internal Medicine | 2700 Citizens Plz Ste 200, Victoria, TX 77901-5756 | 2013-03-21 |
1144570599 | Gummadi & Desai LLC | Internal Medicine | 2717 Michael Angelo Ste 302, Edinburg, TX 78539-1409 | 2012-09-13 |
1386904357 | Amir A Rasheed M.d Pa | Internal Medicine | 1140 Westmont Dr Ste 340, Houston, TX 77015-4363 | 2012-05-23 |
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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.