Paul Q Proffitt, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D9043 Issued in TX

Practice address

3780 Memorial Blvd
3780 Memorial Blvd
Port Arthur, TX 77640-2629

Phone

(409) 983-1161

Fax

(409) 983-5023

NPI assigned

Dec 22, 2005

Last updated

Jul 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Southeast Texas Neurology,PA

  dba Medical Neurology

  • Neurology Physician
  • Nederland, TX
  • NPI 1982828604
  NPD (past)
• Southeast Texas Sleep Diagnostics LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Nederland, TX
  • NPI 1699843748
  NPD (past)
• Southwest Neurophysiology, PLLC

  • Clinical Neurophysiology Physician
  • Grand Prairie, TX
  • NPI 1740832120
  NPD (past)
• Talis Healthcare LLC

  • Clinic/Center
  • Houston, TX
  • NPI 1821594060
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1154308989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 MEMORIAL BLVD",
            "address_2": "3780 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402629",
            "telephone_number": "409-983-1161",
            "fax_number": "409-983-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 MEMORIAL BLVD",
            "address_2": "3780 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402629",
            "telephone_number": "409-983-1161",
            "fax_number": "409-983-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "PAUL",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "D9043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prestige Medical Services, PLLC
• Lindsey Deann Price, D.D.S.
• Primary Care Pediatrics,PA
• Prioux Incorporated (Prioux Chiropractic Center)
• Pro Med Providers LLC
• Marwan Purghol, MD
• Q3BL Pharmacy LLC (Pat Wood Drug Store)
• Q3BL Pharmacy LLC (Pat Wood Drug Store)
• Quantum Hospital Medicine Services of Texas PA
• Rose E Quirante, MS RD LD

• Neurology Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.