Memorial Health System of East Texas

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MEMORIAL HEALTH SYSTEM OF EAST TEXAS

Doing business as

CHI St Luke's Health Memorial IDTF Mobile Unit

Practice address

1201 W Frank Ave
Lufkin, TX 75904

Phone

(936) 634-8111

NPI assigned

Sep 14, 2016

Organization subpart

Yes

Parent organization

CATHOLIC HEALTH INITIATIVESAs reported in NPPES

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

Authorized official

Name

Mr. Shelli Brooks

Title

Cfo

Phone

(936) 631-6702

Specialties & licenses 3

Addresses

Other names 1

• CHI St Luke's Health Memorial IDTF Mobile Unit Doing business as

Part of

Catholic Health Initiatives

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abraham Cheriyan, MD

  • Pulmonary Disease Physician
  • Lufkin, TX
  • NPI 1619034964
  NPD (past)
• George S Fidone, MD

  • Pediatric Adolescent Medicine Physician
  • Lufkin, TX
  • NPI 1114039138
  NPD (past)
• Kavitha Pinnamaneni, M.D.

  • Hematology & Oncology Physician
  • Lufkin, TX
  • NPI 1669493573
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1083162473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759021447",
            "telephone_number": "936-634-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-634-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTH SYSTEM OF EAST TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2016-09-14",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "936-631-6702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "00129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI St Luke's Health Memorial IDTF Mobile Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Douglas McWhirter
• Med Travelers
• Medical Discount LP
• Medmark Treatment Centers of Texas, Inc.
• Cynthia Ann Melvin, PT
• Memorial Health System of East Texas
• Memorial Health System of East Texas
• Memorial Health System of East Texas
• Memorial Health System of East Texas
• Memorial Medical Center of East Texas

• Medical Specialty Clinic/Center in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.