Abraham Cheriyan MD PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

K4066 Issued in TX

Legal business name

ABRAHAM CHERIYAN MD PA

Practice address

206 Gaslight Blvd
Lufkin, TX 75904

Phone

(936) 639-1110

Fax

(936) 639-2466

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Abraham Cheriyan, MDNPI 1619034964

Title

Office Manager

Phone

(936) 639-1110

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Professional Association Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Abraham Cheriyan MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Livingston Sleep Lab

  • Sleep Disorder Diagnostic Clinic/Center
  • Livingston, TX
  • NPI 1770976334
  NPD tax ID

Locations

Practitioners 2

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.

• Abraham Cheriyan, MD

  • Pulmonary Disease Physician
  • Lufkin, TX
  • NPI 1619034964
  Medicare reassignment NPD Authorized official
• Sushil George, MD

  • Pulmonary Disease Physician
  • Lufkin, TX
  • NPI 1740347681
  Medicare reassignment NPD

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1598733990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-639-1110",
            "fax_number": "936-639-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-639-1110",
            "fax_number": "936-639-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM CHERIYAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "CHERIYAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-639-1110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K0679",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K4066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B5471",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113587304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143922601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143923401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B5470",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41GS",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abeldt GP, LLC (Abeldt's Gaslight Pharmacy)
• Buford T Abeldt Sr., RPH
• Abeldt's Gaslight Pharmacy
• Abeldts Gaslight Pharmacy Inc (Abeldts Medical Supply)
• Casey Abernathy, RPH
• Abundant Grace Hospice, LLC
• Ac Provider Services of Texas LLC
• Accentcare, Inc.
• Judy-Ann Marie Acosta, PA-C
• Act Venture Inc. (ACT Home Care)

• Pulmonary Disease Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.