Altus ER Physician Group PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ALTUS ER PHYSICIAN GROUP PLLC

Practice address

137 N LHS Dr
Lumberton, TX 77657-8620

Phone

(409) 284-9717

Fax

(409) 227-0521

NPI assigned

Apr 30, 2019

Last updated

Apr 30, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ike Ilochonwu, MD

Title

Authorized Official

Phone

(409) 755-2273

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank Joseph Fasullo Jr., MD

  • Family Medicine Physician
  • Houston, TX
  • NPI 1205812625

  Emergency Medicine

  NPD (past)
• Dwight W. Landor, FNP-BC

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1407491541

  Single Specialty

  NPD (past)
• Venkata R Pandilipalli, M.D.

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1437135423
  NPD (past)
• Scott Freland Thames Jr., M.D.

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1043573207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1013571538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N LHS DR STE 755",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776578620",
            "telephone_number": "409-755-2273",
            "fax_number": "409-227-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N LHS DR",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776578620",
            "telephone_number": "409-284-9717",
            "fax_number": "409-227-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS ER PHYSICIAN GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "ILOCHONWU",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "409-755-2273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asil Alkahil, PHARMD
• Sinin A. Allahalih
• Robert James Allen, PHARMD.
• Allied Counseling and Rehab Services LLC
• Allied Counseling and Rehab Services LLC (Allied Counseling and Rehab Services)
• Altus Lumberton, LP
• Ana Bumstead DC PLLC (ABC Family Chiropractic)
• Jon C Anitsakis, LPC
• Samuel Asamoah
• Mark Michael Asteris Jr., L.P.C.

• Emergency Medicine Physician in Lumberton, TX
• Providers in Lumberton, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.