Beaumont Spine Pain and Sports Medicince

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

E3137 Issued in TX

Legal business name

BEAUMONT SPINE PAIN AND SPORTS MEDICINCE

Practice address

5220 Eastex Fwy
Beaumont, TX 77708-5320

Phone

(409) 924-8600

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Michael Smesny

Title

Cfo

Phone

(832) 886-1900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104863059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777085320",
            "telephone_number": "409-924-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777085320",
            "telephone_number": "409-924-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT SPINE PAIN AND SPORTS MEDICINCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMESNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "832-886-1900"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "E3137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaumont Smile Center, P.a.
• Beaumont Smiles Youth Dentistry, PLLC
• Beaumont SNF LLC (The Oasis at Beaumont)
• Beaumont Speech and Language LLC
• Beaumont Spine Associates
• Beaumont Surgical Affiliates, LTD (Baptist Beaumont Surgical Affiliates)
• Beaumont Texas Dental PC
• Beaumont Texas LLC (Texas Care North Beaumont)
• Beaumont Urgent Care Setx, LLC (Beaumont Urgent Care)
• Beaumont-Ara Dialysis L.L.P. (Beaumont Kidney Center)

• General Practice Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.