Jerome Lee Sang MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JEROME LEE SANG MD, PA

Practice address

107 Cedar Dr
Portland, TX 78374

Phone

(361) 643-6623

NPI assigned

Dec 21, 2006

Last updated

Jun 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerome Lee Sang, MDNPI 1164449948

Title

President

Phone

(361) 643-6623

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Jerome Lee Sang, MD

  • Internal Medicine Physician
  • Portland, TX
  • NPI 1164449948
  Authorized official Same address or phone
• Linda M Ortiz, C.F.N.P.

  • Family Nurse Practitioner
  • Robstown, TX
  • NPI 1295752814
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1194889105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CEDAR DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "78374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CEDAR DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "78374",
            "telephone_number": "361-643-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME LEE SANG MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "LEE SANG",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-643-6623",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00924R",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147440501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Hoover, PHARMD
• Hopeland Counseling LLC
• Margot O Hopkins, M.ED.CCC/SLP
• James Duncan DDS, PA (Duncan Dental Studio)
• Carlos V Jaramillo, DDS
• Annie John, APRN,FNP-C
• Tracy Lee Jones, PDH
• Matthew Kern, FNP-C
• Elysa King, LPC
• Rebecca Ann Kraatz, PH.D.

• Internal Medicine Physician in Portland, TX
• Providers in Portland, 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 Jun 30, 2010; 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.