Serve All Medical Longview, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SERVE ALL MEDICAL LONGVIEW, PLLC

Practice address

1809 W Loop 281 Ste 107
Longview, TX 75604-2522

Phone

(903) 251-3558

Fax

(832) 308-1272

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Jonathon Ingram

Title

Chief Marketing Officer

Phone

(832) 350-1778

Specialties & licenses 1

Addresses

Other names 1

• Clinica Hispana Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Joshua A Allen, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Beaumont, TX
  • NPI 1699760264

  Anesthesiology

  NPD
• Juan Acosta Guzman, APRN

  • Nurse Practitioner
  • Hialeah, FL
  • NPI 1154919603
  NPD (past)
• Eduardo Fernando Ramirez, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1043806458
  NPD (past)

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1295310472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "HOLLAND",
            "state": "TX",
            "postal_code": "765340339",
            "telephone_number": "512-487-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W LOOP 281 STE 107",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042522",
            "telephone_number": "903-251-3558",
            "fax_number": "832-308-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVE ALL MEDICAL LONGVIEW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "CHIEF MARKETING OFFICER",
        "authorized_official_telephone_number": "832-350-1778"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Hispana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Select Rehab of East Texas, Inc.
• Select Specialty Hospital - Longview Inc
• Whitney Lynn Finstad Selph, M.D.
• Sequoia 4 Partners LLC
• Joshua Serrano, PA-C
• Jerry Serville, CRNA
• Jeffrey William Sewell, MD
• Ryan Hansen Sexton, CRNA
• Shacklefree Ministries
• Shobha Shakamuri, MD

• All providers in Longview, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.