Maxie C Sprott II MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

G2230 Issued in TX

Legal business name

MAXIE C SPROTT II MD PA

Doing business as

Center For Womens Health & Birthcare

Practice address

2627 Calder St
Beaumont, TX 77702-1916

Phone

(409) 838-4472

Fax

(409) 838-0496

NPI assigned

Oct 5, 2006

Last updated

Jul 31, 2008By 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

Vida Riston Sprott, M.S.N., F.N.PNPI 1023008265

Title

Ceo

Phone

(409) 838-4472

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center For Womens Health & Birthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 10

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.

• Maxie C Sprott II, M.D.

  • Obstetrics & Gynecology Physician
  • Beaumont, TX
  • NPI 1205826344
  Medicare reassignment Care Compare group NPD
• Sean Daryl Wengroff, MD

  • Obstetrics & Gynecology Physician
  • Beaumont, TX
  • NPI 1043273873
  Medicare reassignment Care Compare group NPD
• Vida Riston Sprott, APRN, CNM, FNP

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1023008265
  Medicare reassignment Authorized official
• Marquita Anderson, M.D.

  • Obstetrics Physician
  • Mansfield, TX
  • NPI 1922323864
  Medicare reassignment NPD
• Melissa Cordell, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1013122399
  Medicare reassignment NPD
• Steven Ray Edmondson, MD

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1164429890
  Medicare reassignment NPD
• Mallory Shea Cooper Flanagan, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1972204782
  Medicare reassignment NPD
• Sujatha Nvenkata Thota, MD

  • Obstetrics & Gynecology Physician
  • Kingwood, TX
  • NPI 1194994616
  Medicare reassignment NPD
• Shayla Nesbitt, MD

  • Obstetrics & Gynecology Physician
  • Layton, UT
  • NPI 1952600744

  Single Specialty, TX

  Medicare reassignment NPD
• Natalie Anne Polizopoulos-Wilson

  • Medical Physician Assistant
  • Beaumont, TX
  • NPI 1376012021
  Medicare reassignment

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1326134594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021916",
            "telephone_number": "409-838-4472",
            "fax_number": "409-838-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021916",
            "telephone_number": "409-838-4472",
            "fax_number": "409-838-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIE C SPROTT II MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SPROTT",
        "authorized_official_first_name": "VIDA",
        "authorized_official_middle_name": "RISTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-838-4472",
        "authorized_official_credential": "M.S.N., F.N.P"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092489601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Womens Health & Birthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Earl Matherne, M.D.
• Robert Charles Matherne, D.D.S.
• Jordan Abraham Mathew, PHARM D
• Kiera Mattern
• Mackeinzie Alyse Matthews
• Maxim Healthcare Services, Inc.
• Caitlin Leann May, SLP
• Joni May, M.S., CCC-SLP
• Tangee Mayes
• James Edward Mayeux, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.