Active NPI
Msonthi B, Levine, PA
- Geriatric Medicine (Internal Medicine) Physician
- Beaumont, TX
National Provider Identifier
1639576903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- K8650
- Legal business name
- MSONTHI B, LEVINE, PA
- Practice address
- 3560 Delaware St Ste 1104
Beaumont, TX 77706-3000 - Phone
- (409) 346-3721
- Fax
- (409) 860-9078
- NPI assigned
- Dec 2, 2014
- 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
- Msonthi B Levine, MD
- Title
- Owner
- Phone
- (409) 347-3621
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | K8650 | TX | Primary |
| Nurse Practitioner | 363L00000X | AP125323 | TX |
Addresses
Primary practice location
3560 Delaware St Ste 1104
Beaumont, TX 77706-3000
Mailing address
3560 Delaware St Ste 1104
Beaumont, TX 77706-3000
Phone (409) 346-3721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00517L | Other | TX | CMS # |
National Provider Directory
National Provider DirectoryLocations
3560 Delaware St
Ste 1104
Beaumont, TX 77706
Phone (409) 347-8870
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1962430413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417478400000",
"number": "1639576903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST STE 1104",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063000",
"telephone_number": "409-346-3721",
"fax_number": "409-860-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST STE 1104",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063000",
"telephone_number": "409-346-3721",
"fax_number": "409-860-9078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MSONTHI B, LEVINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-02",
"last_updated": "2014-12-02",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "MSONTHI",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "409-347-3621",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "K8650",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP125323",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS #",
"identifier": "00517L",
"state": "TX"
}
],
"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 Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.