EDWARD B GRIPON MD PA (NPI# 1942401617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942401617 |
| Entity Type | Organization |
| Organization Name | EDWARD B GRIPON MD PA |
| Practice Address |
3560 Delaware St Suite 502 Beaumont TX 77706-3067 |
| Mailing Address |
3560 Delaware St Ste 502 Beaumont TX 77706-3067 |
| Practice Telephone | 4098994472 |
| Practice Fax Number | 4098999795 |
| Mailing Telephone | 4098994472 |
| Mailing Fax Number | 4098999795 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | DR. EDWARD B GRIPON (DOCTOR) |
| Authorized Official Telephone | 4098994472 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
D5020 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3560 DELAWARE ST SUITE 502 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-3067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071915 | Dave S. Carpenter | Dentist | 3560 Delaware St, Ste 1003, Beaumont, TX 77706-3026 | 2005-05-31 |
| 1780234229 | Morgan Mayeux | Pathology | 3560 Delaware St, Beaumont, TX 77706-3067 | 2019-09-17 |
| 1033634514 | Lindsey Kathleen Hullett | Internal Medicine | 3560 Delaware St, Beaumont, TX 77706-3067 | 2017-08-07 |
| 1508392317 | Reeti K Joshi, Md Pa | Internal Medicine | 3560 Delaware St, 301, Beaumont, TX 77706-3067 | 2017-05-11 |
| 1578947438 | Desiree Rice | Counselor | 3560 Delaware St, Suite 1205, Beaumont, TX 77706-3067 | 2015-07-10 |
| 1528482486 | Dexter Simmons | Physical Therapist | 3560 Delaware St, Suite# 301, Beaumont, TX 77706-3067 | 2014-02-13 |
| 1649510694 | Jeniffer Kay Esclovon | Counselor | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2013-02-27 |
| 1235486036 | Elyse Lynn Brack | Physician Assistant | 3560 Delaware St, Suite 901, Beaumont, TX 77706-3067 | 2012-08-10 |
| 1780931154 | Bethanne Fondren Carson | Nurse Practitioner | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2012-08-05 |
| 1255686226 | Beaumont Smile Center, P.a. | Dentist | 3560 Delaware St, Suite 102, Beaumont, TX 77706-3067 | 2012-07-16 |
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| 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 | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174726681 | Victoria B Martin | Psychiatry & Neurology | 1219 Abrams Rd Ste 240, Richardson, TX 75081-5583 | 2007-06-11 |
| 1750590873 | Altaf Loya Md P.a. | Psychiatry & Neurology | 150 E Medical Center Blvd Ste A, Webster, TX 77598-4373 | 2007-05-22 |
| 1225246960 | Patricia K Watson | Psychiatry & Neurology | 8687 Louetta Road, Suite 275, Spring, TX 77379-6672 | 2007-05-18 |
| 1417164013 | Corey Roman | Psychiatry & Neurology | 1800 El Paseo St Apt 302, Houston, TX 77054-3008 | 2007-05-16 |
| 1275749178 | Priyamvada Khandheria | Psychiatry & Neurology | 2424 50th St, Suite 301, Lubbock, TX 79412-2549 | 2007-05-15 |
| 1376757971 | Kathryn Ann Ortiz | Psychiatry & Neurology | 8625 King George Dr Ste 111, Dallas, TX 75235-2240 | 2007-05-10 |
| 1457564585 | John Paul Methner | Psychiatry & Neurology | 219 Mountainview Dr, Hurst, TX 76054-3013 | 2007-05-07 |
| 1861515074 | Mohammed Akhtar Saeed | Psychiatry & Neurology | 501 Gulf Fwy S, Suite 105, League City, TX 77573-3536 | 2007-04-10 |
| 1700909645 | Jean M. Goodwin | Psychiatry & Neurology | 4925 Fort Crockett Blvd, Suite 510, Galveston, TX 77551-6003 | 2007-04-07 |
| 1265875801 | Javaidia Beena Yazdani | Psychiatry & Neurology | 2002 Holcombe Blvd, Department of Psychiatry, Houston, TX 77030-4211 | 2013-04-13 |
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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.