Organization Active NPI

American Medical Service Inc

  • Specialist
  • Port Arthur, TX
National Provider Identifier
1568534360
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H1872 Issued in TX
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
084300501MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.