Beaumont ASC, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BEAUMONT ASC, LP

Practice address

755 N 11TH St
Suite P3970B
Beaumont, TX 77702-1500

Phone

(409) 924-3996

Fax

(409) 924-3916

NPI assigned

Oct 27, 2016

Organization subpart

No

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

Authorized official

Name

Kelly Marie Bemis

Title

Authorized Official

Phone

(858) 722-2358

Specialties & licenses 1

Addresses

Other names 1

• Beaumont Heart & Vascular Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Beaumont ASC LPCCN 45C0001612

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cardiac Cath Lab of Beaumont, LP

  • Multi-Specialty Clinic/Center
  • Beaumont, TX
  • NPI 1215233374

  Member Of

  NPD member

Locations

Practitioners 8

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

• Nidal I Buheis, M.D.

  • Cardiovascular Disease Physician
  • Houston, TX
  • NPI 1861409278
  Medicare reassignment NPD
• Alfred B. Brady Jr., M.D.

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1841293909
  NPD (past)
• Miguel E Castellanos, MD

  • Cardiovascular Disease Physician
  • Orange, TX
  • NPI 1144256926
  NPD (past)
• Mark Fasulo, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1366686487
  NPD (past)
• Jorge A Hernandez, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1356338347
  NPD (past)
• Thomas Edward Hong, MD

  • Clinical Cardiac Electrophysiology Physician
  • Houston, TX
  • NPI 1235121294
  NPD (past)
• Thomas Randolph Lombardo, MD

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1891791091
  NPD (past)
• Allen David McGrew, D.O.

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1689909418
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1417409285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT# 6011, PO BOX 4417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104417",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3970B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-924-3996",
            "fax_number": "409-924-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT ASC, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "858-722-2358"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Heart & Vascular Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beaumont Heart & Vascular Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Beal
• Jessica Bean
• Christie N Beaugh, LPC
• Beaumont Adult Medicine, P.a.
• Beaumont Allergy Associates,PLLC
• Beaumont Best RX
• Beaumont Bone & Joint Institute, PA
• Beaumont Bone & Joint Institute, PA
• Beaumont Cancer Institute, P.a.
• Beaumont Chronic Pain LLC

• Ambulatory Surgical Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.