NPIMap

Organization Active NPI

Beaumont Bone & Joint Institute, PA

Doing business as Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beaumont, TX
National Provider Identifier
1124225776
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000363 Issued in TX
Legal business name
BEAUMONT BONE & JOINT INSTITUTE, PA
Doing business as
Ambulatory Surgery Center
Practice address
3650 Laurel St
Beaumont, TX 77707-2216
Phone
(409) 838-0346
NPI assigned
Jun 28, 2007
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Mr. Duane N Hill
Title
Administrator
Phone
(409) 838-0346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000363 TX Primary

Addresses

Primary practice location

3650 Laurel St
Beaumont, TX 77707-2216

Mailing address

3650 Laurel St
Beaumont, TX 77707-2216
Phone (409) 838-0346

Other practice location 1

2501 Jimmy Johnson Blvd Ste 400
Port Arthur, TX 77640-2013
Phone (409) 729-5633

Other practice location 2

3500 Highway 365 Ste 100
Port Arthur, TX 77642-7721
Phone (409) 729-5633

Other practice location 3

2927 Park Plaza Ln
Port Arthur, TX 77642-5516
Phone (409) 983-5178

Other identifiers 1

IdentifierTypeStateIssuer
083911001MedicaidTX

Other names 1

  • AMBULATORY SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

3500 Highway 365
Ste 100
Port Arthur, TX 77642
Phone (409) 729-5633

Practitioners & affiliated clinicians

Practitioners 6

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1124225776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072216",
            "telephone_number": "409-838-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072216",
            "telephone_number": "409-838-0346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Jimmy Johnson Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776402013",
            "country_code": "US",
            "telephone_number": "409-729-5633",
            "fax_number": "409-729-9760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Highway 365 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776427721",
            "country_code": "US",
            "telephone_number": "409-729-5633",
            "fax_number": "409-729-9760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2927 Park Plaza Ln",
            "address_purpose": "LOCATION",
            "city": "Port Arthur",
            "state": "TX",
            "postal_code": "776425516",
            "country_code": "US",
            "telephone_number": "409-983-5178",
            "fax_number": "409-982-5671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAUMONT BONE & JOINT INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-838-0346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083911001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.