Active NPI
Sarah Cheriyan MD PA
- Allergy & Immunology Physician
- Lufkin, TX
National Provider Identifier
1386975134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- K0680
- Legal business name
- SARAH CHERIYAN MD PA
- Practice address
- 206 Gaslight Blvd
Lufkin, TX 75904-3166 - Phone
- (936) 639-1110
- Fax
- (936) 639-2466
- NPI assigned
- Jan 19, 2010
- 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
- Dr. Sarah Cheriyan, MD
- Title
- Owner
- Phone
- (936) 639-1110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | K0680 | TX | Primary |
Addresses
Primary practice location
206 Gaslight Blvd
Lufkin, TX 75904-3166
Mailing address
206 Gaslight Blvd
Lufkin, TX 75904-3166
Phone (936) 639-1110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212449701 | Medicaid | TX | |
| 84TD | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
210 W Park
Ste 108
Livingston, TX 77352
Phone (281) 358-4145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289952000000",
"number": "1386975134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043166",
"telephone_number": "936-639-1110",
"fax_number": "936-639-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 GASLIGHT BLVD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043166",
"telephone_number": "936-639-1110",
"fax_number": "936-639-2466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARAH CHERIYAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2010-11-17",
"status": "A",
"authorized_official_last_name": "CHERIYAN",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-639-1110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "K0680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212449701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84TD",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.