Active NPI
Somers Pediatrics
- Pediatrics Physician
- Longview, TX
National Provider Identifier
1245733492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M9669
- Legal business name
- SOMERS PEDIATRICS
- Practice address
- 103 W. Loop 281, Suite 474
Longview, TX 75605 - Phone
- (903) 230-3311
- Fax
- (903) 230-3312
- NPI assigned
- Mar 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia C. Somers, MD
- Title
- Ceo
- Phone
- (903) 230-3311
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M9669 | TX | Primary |
| Pediatric Infectious Diseases Physician | 2080P0208X | M9669 | TX |
Addresses
Primary practice location
103 W. Loop 281, Suite 474
Longview, TX 75605
Mailing address
PO Box 5699
Longview, TX 75608
Phone (903) 230-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206460203 | Medicaid | TX |
Other names 1
- Cynthia Somers, MD PA
National Provider Directory
National Provider DirectoryLocations
3564 N Fourth St
Ste A
Longview, TX 75605
Phone (903) 230-3311
103 W Loop 281
Ste 474
Longview, TX 75605
Phone (903) 781-0455
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEDJDD
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Longview, TX
- NPI 1912198441
-
- Family Nurse Practitioner
- Longview, TX
- NPI 1275490690
-
- Pediatrics Physician
- Longview, TX
- NPI 1154349389
-
- Pediatric Nurse Practitioner
- Longview, TX
- NPI 1689371718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520985600000",
"number": "1245733492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5699",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75608",
"telephone_number": "903-230-3311",
"fax_number": "903-230-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W. LOOP 281, SUITE 474",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75605",
"telephone_number": "903-230-3311",
"fax_number": "903-230-3312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMERS PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-14",
"last_updated": "2018-03-14",
"status": "A",
"authorized_official_last_name": "SOMERS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "903-230-3311",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "M9669",
"primary": true
},
{
"code": "2080P0208X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "TX",
"license": "M9669",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206460203",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cynthia Somers, MD PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.