EXCEPTIONAL PHYSICIANS GROUP PORT ARTHUR PLLC (NPI# 1841849403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841849403 |
| Entity Type | Organization |
| Organization Name | EXCEPTIONAL PHYSICIANS GROUP PORT ARTHUR PLLC |
| Practice Address |
3330 Fm 365 Port Arthur TX 77642-7705 |
| Practice Telephone | 4693417800 |
| Mailing Telephone | 4693417800 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | SAEED S MAHBOUBI (CFO) |
| Authorized Official Telephone | 4693417800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3330 FM 365 |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-7705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062891 | Exceptional H C Port Arthur LLC | Clinic/Center | 3330 Fm 365, Port Arthur, TX 77642-7705 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871916528 | Gates Blvd Emergency Physicians Pllc | Emergency Medicine | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2014-01-31 |
| 1134542137 | Sea Rim Emergency Physicians Pllc | Emergency Medicine | 8445 Memorial Blvd, Ste 600, Port Arthur, TX 77640-7003 | 2014-01-27 |
| 1922335199 | Kyle David Peterson | Emergency Medicine | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2009-11-10 |
| 1609039791 | Sheila Michelle Bishop | Emergency Medicine | 8035 Memorial Blvd, Golden Triangle Emergency Center, Port Arthur, TX 77640 | 2008-07-08 |
| 1255491627 | Port Arthur Emergency Physicians | Emergency Medicine | 2555 Jimmy Johnson Blvd, Emergency Department, Port Arthur, TX 77640-2007 | 2006-12-08 |
| 1639129448 | Anthony Kirk Williams | Emergency Medicine | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-05-11 |
| 1124078498 | Michael G Kolcun | Emergency Medicine | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-05-10 |
| 1841249414 | Roy R Marrero Jr. | Emergency Medicine | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-05-09 |
| 1689623282 | Dennis C Rainey | Emergency Medicine | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-05-09 |
| 1457300394 | Apollo Physician of Texas Pa | Emergency Medicine | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-05-09 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
Please comment or provide details below to improve the information on EXCEPTIONAL PHYSICIANS GROUP PORT ARTHUR PLLC.
| 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.