Organization Active NPI

Sarah Cheriyan MD PA

  • Allergy & Immunology Physician
  • Lufkin, TX
National Provider Identifier
1386975134
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
K0680 Issued in TX
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

Updated by the provider on Nov 17, 2010

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
212449701MedicaidTX
84TDOtherBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.