West Loop Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J0271 Issued in TX

Legal business name

WEST LOOP MEDICAL CLINIC INC

Practice address

2531 Loop 306
San Angelo, TX 76904-7629

Phone

(325) 224-4980

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Stephen H Smith, MDNPI 1710915822

Title

President

Phone

(325) 224-4980

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Stephen Harkness Smith, MD

  • Internal Medicine Physician
  • San Angelo, TX
  • NPI 1710915822
  NPD (past) Authorized official
• Robert Romatowski, PA

  • Physician Assistant
  • San Angelo, TX
  • NPI 1174556047
  NPD (past)
• Marc Warner Wimpee, MD

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1508894627
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1124147723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 LOOP 306",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 LOOP 306",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047629",
            "telephone_number": "325-224-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LOOP MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-224-4980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lani Annette Webster, LPC
• Karl K Wehner, MD
• William A Weidner
• Taylor Weiershausen, PNP
• Shelly Denise Weise, EDD
• West Texas Child Development Center
• West Texas Counseling & Guidance Inc
• West Texas Counselling and Rehabilitation Program of San Angelo, Inc.
• West Texas Dermatology and Skin Cancer Center PLLC
• West Texas E.a.R.S,

• Internal Medicine Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.