Organization Active NPI

Paige I, Inc

Doing business as Beaumont Medical Specialties

  • Durable Medical Equipment & Medical Supplies
  • Beaumont, TX
National Provider Identifier
1417980921
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0089200 Issued in TX
Legal business name
PAIGE I, INC
Doing business as
Beaumont Medical Specialties
Practice address
3150 Medical Center Dr Ste 3
Beaumont, TX 77701-4651
Phone
(409) 832-0303
Fax
(409) 832-0802
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Virginia Coleman
Title
President
Phone
(409) 832-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0089200 TX Primary

Addresses

Primary practice location

3150 Medical Center Dr Ste 3
Beaumont, TX 77701-4651

Mailing address

PO Box 785
Beaumont, TX 77704
Phone (409) 832-0303

Other identifiers 3

IdentifierTypeStateIssuer
011452201MedicaidTX
091374101MedicaidTX
519281OtherTXBLUE CROSS/BLUE SHIELD

Other names 1

  • Beaumont Medical Specialties Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1417980921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77704",
            "telephone_number": "409-832-0303",
            "fax_number": "409-832-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 MEDICAL CENTER DR STE 3",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014651",
            "telephone_number": "409-832-0303",
            "fax_number": "409-832-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-832-0303"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0089200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011452201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091374101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "519281",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaumont Medical Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.