Lufkin Endo Anesthesia PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LUFKIN ENDO ANESTHESIA PLLC

Practice address

319 Gaslight Blvd
Lufkin, TX 75904-3124

Phone

(936) 634-3713

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bhagvan Malladi, MD

Title

Owner

Phone

(936) 634-3713

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Tanya K McDonald, CRNA

  • Certified Registered Nurse Anesthetist
  • Lufkin, TX
  • NPI 1568555191
  Medicare reassignment NPD
• Raghuveer M Reddy, MD

  • Gastroenterology Physician
  • Lufkin, TX
  • NPI 1619979101
  NPD (past)

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1235498494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043124",
            "telephone_number": "936-634-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUFKIN ENDO ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "MALLADI",
        "authorized_official_first_name": "BHAGVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-634-3713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lufkin Adult Medicine Clinic
• Lufkin Clinic of Chiropractic PLLC
• Lufkin Counseling, PLLC
• Lufkin Dentistry PLLC
• Lufkin Emergency Physicians, PA
• Lufkin Endo Pathology PLLC
• Lufkin Endo Pathology PLLC
• Lufkin Endodontics
• Lufkin Endoscopy Center LTD
• Lufkin ENT and Allergy, PLLC

• Specialist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.