Beaumont Elite Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BEAUMONT ELITE URGENT CARE LLC

Practice address

3565 College St
Beaumont, TX 77701-4615

Phone

(409) 345-3565

NPI assigned

Sep 23, 2022

Last updated

Aug 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Butch Frazier

Title

Owner

Phone

(409) 345-3565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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.

• Shanna Rene' Guy, APRN, FNP-C

  • Family Nurse Practitioner
  • Sugar Land, TX
  • NPI 1811505019
  Medicare reassignment Care Compare group NPD
• Karen Elizabeth Siler, NP

  • Acute Care Nurse Practitioner
  • Beaumont, TX
  • NPI 1346873486
  Medicare reassignment Care Compare group NPD
• Kendall Denese Williams, FNP

  • Family Nurse Practitioner
  • Lumberton, TX
  • NPI 1174279640
  Medicare reassignment Care Compare group NPD
• Anthony Kirk Williams, MD

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1639129448
  Medicare reassignment NPD

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1629791785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014615",
            "telephone_number": "409-345-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT ELITE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "BUTCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-345-3565"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaumont Cancer Institute, P.a. (Associated Medical Specialist)
• Beaumont Chronic Pain LLC
• Beaumont Dental PLLC
• Beaumont Dermatology & Family Practice, LLP
• Beaumont Elite Emergency Center LLC (Beaumont Emergency Hospital)
• Beaumont Emergency Medicine Associates PLLC
• Beaumont ER Physicians PLLC
• Beaumont Eye Associates LLP
• Beaumont Eye Associates PLLC (Eye Centers Optical College St.)
• Beaumont Family Dental PA

• Urgent Care Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.