Organization Active NPI

Permian Premier Health Services Inc

Doing business as Steward Medical Group of Texas

  • Family Medicine Physician
  • Beaumont, TX
National Provider Identifier
1558839076
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PERMIAN PREMIER HEALTH SERVICES INC
Doing business as
Steward Medical Group of Texas
Practice address
2929 Calder St Ste 100
Beaumont, TX 77702-1841
Phone
(615) 467-4474
Fax
(615) 467-1267
NPI assigned
Nov 2, 2018
Last updated
Aug 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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

Authorized official

Name
Amy Guay
Title
President
Phone
(617) 789-5018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2929 Calder St Ste 100
Beaumont, TX 77702-1841

Mailing address

PO Box 24573
Belfast, ME 04915-4496
Phone (615) 467-4158

Other names 1

  • Steward Medical Group of Texas 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": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629590400000",
    "number": "1558839076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24573",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154496",
            "telephone_number": "615-467-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021841",
            "telephone_number": "615-467-4474",
            "fax_number": "615-467-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN PREMIER HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "GUAY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-789-5018"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steward Medical Group of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steward Medical Group of Texas",
            "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, 2021; 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.