Mariela D Vasquez, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

J6787 Issued in TX

Practice address

1201 W Frank
Memorial Medical Center
Lufkin, TX 75904

Phone

(936) 639-7557

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pineywoods Pathology PAGroup PAC ID 5991787160, 2 clinicians

Gulf Coast Pathology Program PLLCGroup PAC ID 3476956194, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
• HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670
• CHI St Lukes Health Memorial Livingston Hospital, Livingston, TX, CCN 450395

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gulf Coast Pathology Program PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1629643069
  Medicare reassignment Care Compare group NPD
• Pineywoods Pathology PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Lufkin, TX
  • NPI 1588764955
  Medicare reassignment Care Compare group NPD
• Westwater Diagnostics PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1003413139
  NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health System of East Texas

  dba CHI St. Lukes Health Memorial Lufkin

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Memorial Hospital of Polk County

  dba CHI St. Luke's Heath Memorial Livingston

  • Rural Acute Care Hospital
  • Livingston, TX
  • NPI 1689650616
  Care Compare affiliation
• North Houston - TRMC, LLC

  dba HCA Houston Healthcare Tomball

  • General Acute Care Hospital
  • Tomball, TX
  • NPI 1750819025
  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124128590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 1906",
            "address_2": "821 W FRANK",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759021906",
            "telephone_number": "936-639-5474",
            "fax_number": "936-639-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK",
            "address_2": "MEMORIAL MEDICAL CENTER",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-639-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MARIELA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J6787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8661B0",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aley Vardeman, MS, CCC/SLP
• Remya Varghese, AGACNP
• Jaimee Gandy Varner, APRN
• Varughese Puthenparampil Samuel
• Maria Loreto Vasquez
• Vcphcs Xxii, LLC (BHG Lufkin Treatment Center)
• Jose G. Vega, PHD
• Krishna Vegiraju, MD
• Sujatha Vegiraju, RD
• Timothy J Veillon, O.D.

• Anatomic Pathology & Clinical Pathology Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.