Cherry Internal Medicine Clinic of East Texas PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHERRY INTERNAL MEDICINE CLINIC OF EAST TEXAS PA

Practice address

107 Medical Park Dr
Lufkin, TX 75904-3135

Phone

(936) 634-6333

Fax

(936) 634-6337

NPI assigned

Jun 22, 2020

Last updated

Feb 24, 2025By 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

Mariyam Cherry, MDNPI 1750726550

Title

Owner

Phone

(936) 899-5682

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Mariyam Cherry, M.D.

  • Internal Medicine Physician
  • Lufkin, TX
  • NPI 1750726550
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1316563778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MEDICAL PARK DR STE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043135",
            "telephone_number": "936-899-5682",
            "fax_number": "936-899-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL PARK DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043135",
            "telephone_number": "936-634-6333",
            "fax_number": "936-634-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY INTERNAL MEDICINE CLINIC OF EAST TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "MARIYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-899-5682",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase-N-Chasnea Enterprise LLC (Care 1 Health)
• Kevin Pulikottil Cherian
• Kuruvilla M Cheriparambil, M.D.
• Abraham Cheriyan, MD
• Sarah Cheriyan, MD
• Cherry Mathew
• Lila Cherry, MD
• Mariyam Cherry, M.D.
• Sunil Cherry
• Cheryl Suiter MD PA (Pineywoods OB/GYN)

• Internal Medicine Physician in Lufkin, TX
• Providers in Lufkin, 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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.