NPIMap

Organization Active NPI

Triangle Hospital Care Group

  • Infectious Disease Physician
  • Beaumont, TX
National Provider Identifier
1609944065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
K7112 Issued in TX
Legal business name
TRIANGLE HOSPITAL CARE GROUP
Practice address
4890 Littlewood Dr
Beaumont, TX 77706-8700
Phone
(409) 351-2497
Fax
(409) 670-0007
NPI assigned
Dec 1, 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
Victoria Jada Gordon, MDNPI 1972514461
Title
Owner
Phone
(409) 351-2497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X K7112 TX Primary

Addresses

Primary practice location

4890 Littlewood Dr
Beaumont, TX 77706-8700

Mailing address

4890 Littlewood Dr
Beaumont, TX 77706-8700
Phone (409) 351-2497

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609944065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 LITTLEWOOD DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777068700",
            "telephone_number": "409-351-2497",
            "fax_number": "409-670-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 LITTLEWOOD DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777068700",
            "telephone_number": "409-351-2497",
            "fax_number": "409-670-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE HOSPITAL CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "JADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-351-2497",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "K7112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.