Active NPI
Varughese Puthenparampil Samuel
- Internal Medicine Physician
- Lufkin, TX
National Provider Identifier
1104925502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H5965
- Legal business name
- VARUGHESE PUTHENPARAMPIL SAMUEL
- Practice address
- 1113 Ellis Ave
Lufkin, TX 75904-3346 - Phone
- (936) 637-2888
- Fax
- (936) 634-2321
- NPI assigned
- Sep 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Varughese Puthenparampil Samuel, M.D.
- Title
- Owner
- Phone
- (936) 637-2888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H5965 | TX | Primary |
Addresses
Primary practice location
1113 Ellis Ave
Lufkin, TX 75904-3346
Mailing address
1113 Ellis Ave
Lufkin, TX 75904-3346
Phone (936) 637-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922019579 | Other | TX | NPI |
National Provider Directory
National Provider DirectoryLocations
1121 Ellis Ave
Lufkin, TX 75904
Phone (409) 637-2888
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Lufkin, TX
- NPI 1922019579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104925502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 ELLIS AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043346",
"telephone_number": "936-637-2888",
"fax_number": "936-634-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 ELLIS AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043346",
"telephone_number": "936-637-2888",
"fax_number": "936-634-2321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARUGHESE PUTHENPARAMPIL SAMUEL",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "VARUGHESE",
"authorized_official_middle_name": "PUTHENPARAMPIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-637-2888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "H5965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1922019579",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- 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.