Rheumatology Association of Longview, PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

RHEUMATOLOGY ASSOCIATION OF LONGVIEW, PLLC

Practice address

920 Judson Rd
Longview, TX 75601

Phone

(903) 236-7020

Fax

(903) 236-7093

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kayvan Kamali, M.D.NPI 1013912856

Title

Owner

Phone

(903) 236-7020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 5

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

• Kayvan Kamali, M.D.

  • Rheumatology Physician
  • Longview, TX
  • NPI 1013912856
  Medicare reassignment Care Compare group NPD Authorized official
• Carla Fulgham

  • Family Nurse Practitioner
  • Marshall, TX
  • NPI 1124427265
  Medicare reassignment Care Compare group NPD
• Amy Hicks, MSN FNP-C

  • Family Nurse Practitioner
  • Longview, TX
  • NPI 1356727077
  Medicare reassignment NPD
• Shelby Lynn Sullivan, FNP-C

  • Nurse Practitioner
  • Longview, TX
  • NPI 1720680267
  Medicare reassignment NPD
• Susan R. Jones, P.A.

  • Medical Physician Assistant
  • Longview, TX
  • NPI 1265457741
  Medicare reassignment

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1205026432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75601",
            "telephone_number": "903-236-7020",
            "fax_number": "903-236-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75601",
            "telephone_number": "903-236-7020",
            "fax_number": "903-236-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY ASSOCIATION OF LONGVIEW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "KAMALI",
        "authorized_official_first_name": "KAYVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-236-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160966101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andree Sibille Reynolds, PHYSICAL THERAPIST
• Charles Lee Reynolds, MED, ATC, LAT
• Morgan Kathleen Rhoades, FNP
• Ann C. Rhodes, ED.D.
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• Elissa Riach, LPC
• Karen Yvonne Rich, OTR

• Rheumatology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.