Active NPI
American Medical Service Inc
- Specialist
- Port Arthur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H1872
- Legal business name
- AMERICAN MEDICAL SERVICE INC
- Practice address
- 2875 Jimmy Johnson Blvd Ste 101
Port Arthur, TX 77640-2002 - Phone
- (409) 293-4242
- Fax
- (409) 853-1108
- NPI assigned
- Nov 15, 2006
- Last updated
- Nov 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Ruth Picazo
- Title
- Billing Manager
- Phone
- (409) 293-4242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H1872 | TX | Primary |
Addresses
Primary practice location
2875 Jimmy Johnson Blvd Ste 101
Port Arthur, TX 77640-2002
Mailing address
2875 Jimmy Johnson Blvd Ste 101
Port Arthur, TX 77640-2002
Phone (409) 293-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084300501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2575 Jimmy Johnson Blvd
Ste 100
Port Arthur, TX 77640
Phone (409) 842-0003
2575 Jimmy Johnson Blvd
Ste 100
Port Arthur, TX 77640
Phone (409) 842-0003
2875 Jimmy Johnson Blvd
#101
Port Arthur, TX 77640
Phone (409) 293-4242
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Orange, TX
- NPI 1679503916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509494400000",
"number": "1568534360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 JIMMY JOHNSON BLVD STE 101",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402002",
"telephone_number": "409-293-4242",
"fax_number": "409-853-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 JIMMY JOHNSON BLVD STE 101",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402002",
"telephone_number": "409-293-4242",
"fax_number": "409-853-1108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN MEDICAL SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2017-11-01",
"status": "A",
"authorized_official_last_name": "PICAZO",
"authorized_official_first_name": "EMILY",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "409-293-4242"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "H1872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084300501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.