HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT (NPI# 1790332955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790332955 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC GOODYEAR BEAUMONT |
| Practice Address |
11357 Ih 10, Sw @ Smith Road Beaumont TX 77720 |
| Mailing Address |
4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 |
| Practice Telephone | 7049365546 |
| Mailing Telephone | 7049355546 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Telephone | 7049365546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
11357 IH 10, SW @ SMITH ROAD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275568685 | Karen Rebecca Jensen | Counselor | 3250 Medical Center Drive, Beaumont, TX 77720 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1518568096 | Laura M Alli | Pharmacist | 5350 Old Dowlen Rd Apt 923, Beaumont, TX 77706-6642 | 2020-11-02 |
| 1558961532 | Maame Sarpong | Registered Nurse | 1627 Manti Ct, Beaumont, CA 92223-3220 | 2020-10-28 |
| 1033719059 | Kenesha Barnes | Pathology | 9120 Monica St, Beaumont, TX 77707-4634 | 2020-10-28 |
| 1013516954 | Laurence Oliver Parker | Physical Therapy Assistant | 7655 Park North Dr Apt 806, Beaumont, TX 77708-2413 | 2020-10-21 |
| 1144827460 | George Edward Hartsfield | Counselor | 7905 Silverleaf St, Beaumont, TX 77707-3624 | 2020-10-09 |
| 1033725718 | Wendi Ellen Ames | Nurse Practitioner | 350 Pine St Ste 755, Beaumont, TX 77701-2437 | 2020-09-18 |
| 1669088373 | A Tender Touch Senior Living LLC | Assisted Living Facility | 1651 Rose Ave, Beaumont, CA 92223-7174 | 2020-09-17 |
| 1306452008 | Amazing Grace Care Services LLC | Assisted Living Facility | 43 Sitara Ave, Beaumont, CA 92223-3110 | 2020-09-17 |
| 1609481043 | Alicia Georgetown | Family Medicine | 6920 Glen Willow Dr, Beaumont, TX 77706-4112 | 2020-09-12 |
| Find all providers in BEAUMONT | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871051763 | Thomas Pace | Preventive Medicine | 808 Glenmont Rd, Keller, TX 76248-0377 | 2019-03-09 |
| 1033690250 | Nicole Eileen Finkelstein | Preventive Medicine | 6009 Seville Dr, Austin, TX 78724-6127 | 2018-08-25 |
| 1104368430 | David E Turner | Preventive Medicine | 6218 Holly Oaks Ct, Fulshear, TX 77441-1134 | 2016-11-17 |
| 1700268950 | Healthstat Onsite Clinic Mvm Cuero | Preventive Medicine | 202 N Gazzie St, Cuero, TX 77954-3730 | 2015-06-24 |
| 1801276142 | Dr Suzanne Schafer Pllc | Preventive Medicine | 2392 Calypso Ln, League City, TX 77573-2795 | 2015-06-02 |
| 1750777140 | Healthstat Onsite Clinic Hsm Arlington Tx | Preventive Medicine | 605 109th St, Suite 300, Arlington, TX 76011-7601 | 2015-04-13 |
| 1871837476 | John Patrick Gibbs | Preventive Medicine | 300 Fischer Store Rd, Wimberley, TX 78676-6425 | 2012-11-20 |
| 1821332776 | Hanlin Liu | Preventive Medicine | 5000 Bayway Dr, Baytown, TX 77520-2123 | 2012-11-15 |
| 1912272477 | John George Mueller | Preventive Medicine | 60 Crown Pl, Richardson, TX 75080-1603 | 2012-03-16 |
| 1154691046 | Healthstat Inc | Preventive Medicine | 2601 Telecom Pkwy, Richardson, TX 75082-3521 | 2012-01-09 |
| 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.