DR. MARY ELIZABETH HEBERT (NPI# 1972547818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972547818 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH HEBERT |
| Credential | M.D. |
| Practice Address |
4920 Ne Stallings Dr Nacogdoches TX 75965-1254 |
| Practice Telephone | 9365583715 |
| Practice Fax Number | 9365583701 |
| Mailing Telephone | 9365583715 |
| Mailing Fax Number | 9365583701 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2013045556 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 129804404 | 05 | |
| TX | 129804403 | 05 | |
| TX | 129804406 | 05 | |
| OK | 100033980A | 05 | |
| TX | 129804402 | 05 | |
| TX | 129804405 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104058601 | Mary Hebert | Speech-Language Pathologist | 1700 Hampton Dr, Del City, OK 73115-1453 | 2009-08-17 |
| 1992259899 | Mary Hebert | General Acute Care Hospital | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2016-08-09 |
| 1346793361 | Mary Alice Hebert | Counselor | 327 S K St, Tulare, CA 93274-5416 | 2016-07-26 |
| 1629440201 | Mary Frances Hebert | Pharmacist | 1959 Ne Pacific St Box 357630, Seattle, WA 98195-0001 | 2015-10-22 |
| 1386068971 | Mary Laurence Hebert | Registered Nurse | Hwy 160/163 Bldg Ka2010, Kayenta, AZ 86033-0368 | 2014-02-18 |
| 1548520232 | Mary Elizabeth Hebert | Registered Nurse | 1555 Elm St, Manchester, NH 03101-1203 | 2012-05-29 |
| 1174857361 | Mary Ellen Hebert | Physical Therapist | 208 Flynn Ave, Suite 3a, Burlington, VT 05401-5429 | 2009-09-22 |
| 1942450382 | Mary M Hebert | Physical Therapist | 312 Guilbeau Rd, Suite 4b, Lafayette, LA 70506-6952 | 2008-09-23 |
| 1184745549 | Mary Hebert | Occupational Therapist | 1 Halsted Cir, Suite 5, Rogers, AR 72756-3185 | 2007-04-03 |
| 1376689315 | Mary Ladd Hebert | Social Worker | 2990 Bethesda Pl, 602-a, Winston Salem, NC 27103-3318 | 2007-01-29 |
| Street Address |
4920 NE STALLINGS DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630012 | Ronald Homer Hearne | Pathology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2005-06-27 |
| 1194331876 | Brittni Colleen Andrews | Nurse Practitioner | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2020-09-18 |
| 1699258608 | Hallie Bernard | Dietitian, Registered | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2018-09-14 |
| 1174005805 | Janice Lynn Waggoner | Physical Therapist | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2018-08-29 |
| 1700381761 | Main Street Anesthesia of Texas, Pa | Anesthesiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2018-03-29 |
| 1972032670 | Amy Ellizabeth Bagley-krenek | Nurse Practitioner | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2017-06-06 |
| 1346786258 | Hannah Dunahoe | Dietitian, Registered | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2017-01-16 |
| 1316481492 | Stone Fort Inpatient Services Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2016-12-08 |
| 1588037261 | Astral Emergency Physicians, Pllc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-11-04 |
| 1568834521 | Bastion Emergency Physicians, Pplc | Physician Assistant | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2015-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920640 | Kathryn Marie Lewis | Radiology | 4920 N.e. Stallilngs Drive, Nacogdoches, TX 75961 | 2005-08-31 |
| 1861673063 | Kathryn M. Lewis, M.d., P.a. | Radiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154534 | Genesiscare Landmark Texas Cancer Care Pa | Radiology | 12606 Greenville Ave Ste 160, Dallas, TX 75243-1915 | 2020-08-12 |
| 1780232090 | Yaser Hasan | Radiology | 1911 Holcombe Blvd Apt 1615, Houston, TX 77030-4190 | 2019-08-29 |
| 1932557030 | Joseph Charles Arko | Radiology | 11532 Champions Green Dr, Houston, TX 77066-1070 | 2016-05-30 |
| 1962860221 | Urology San Antonio, P.a. | Radiology | 7718 Pasteur Dr, San Antonio, TX 78229-3402 | 2016-02-02 |
| 1619355419 | Jamie Pawlowski | Radiology | 2215 E Villa Maria Rd Ste 130, Bryan, TX 77802-2585 | 2015-05-12 |
| 1073915245 | Texas Radiation Oncology Medical Group, Pllc | Radiology | 2800 State Hwy 114 East, Suite 100, Trophy Club, TX 76262 | 2014-09-19 |
| 1548660186 | Century West Houston Pllc | Radiology | 2610 W Sam Houston Pkwy S, Houston, TX 77042-0008 | 2014-09-02 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1194079376 | Century Radiation Oncology Lubbock, Pllc | Radiology | 424 N. Utica, Lubbock, TX 79416-3035 | 2012-11-09 |
| 1285999698 | Robert Dery Lindberg | Radiology | 3757 Robinhood St, Houston, TX 77005-2027 | 2012-07-11 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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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.