Beaumont Pathology Associates PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

BEAUMONT PATHOLOGY ASSOCIATES PA

Practice address

2830 Calder St
Beaumont, TX 77702-1809

Phone

(409) 299-3214

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

James Thomas Molina, MD, PHDNPI 1932210846

Title

Authorized Official

Phone

(409) 236-1633

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Thomas Molina, M.D., PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Beaumont, TX
  • NPI 1932210846
  Medicare reassignment Care Compare group NPD Authorized official
• Rehana Haq Javed, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Beaumont, TX
  • NPI 1376798884
  Medicare reassignment Care Compare group NPD
• Nathan Daniel Liles, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Beaumont, TX
  • NPI 1033343611
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1679542104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421479",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021809",
            "telephone_number": "409-299-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-11-06",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "409-236-1633",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093662701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Beaumont Nursing and Rehabilitation LP
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• Beaumont Pharmacy LLC
• Beaumont Plastic Surgery Associates, P.a.
• Beaumont Port Arthur Pathology Associates PA
• Beaumont Primary Healthcare, PLLC

• Anatomic Pathology & Clinical Pathology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.