Organization Active NPI

Varughese Puthenparampil Samuel

  • Internal Medicine Physician
  • Lufkin, TX
National Provider Identifier
1104925502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H5965 Issued in TX
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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.NPI 1922019579
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1922019579OtherTXNPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.