Organization Active NPI

Beaumont Cancer Institute, P.a.

  • Specialist
  • Beaumont, TX
National Provider Identifier
1497776751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F8907 Issued in TX
Legal business name
BEAUMONT CANCER INSTITUTE, P.A.
Practice address
3455 Stagg Dr
Suite 102
Beaumont, TX 77701-4521
Phone
(409) 813-1974
Fax
(409) 813-2486
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mahesh D Kanojia, MD
Title
Owner
Phone
(409) 813-1974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X F8907 TX Primary

Addresses

Primary practice location

3455 Stagg Dr
Suite 102
Beaumont, TX 77701-4521

Mailing address

3455 Stagg Dr
Suite 102
Beaumont, TX 77701-4521
Phone (409) 813-1974

Other names 1

  • Associated Medical Specialist Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497776751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 STAGG DR",
            "address_2": "SUITE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014521",
            "telephone_number": "409-813-1974",
            "fax_number": "409-813-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 STAGG DR",
            "address_2": "SUITE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014521",
            "telephone_number": "409-813-1974",
            "fax_number": "409-813-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT CANCER INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANOJIA",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-813-1974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F8907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Medical Specialist",
            "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 Aug 22, 2020; 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.