Discovery Medical Network Matagorda, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DISCOVERY MEDICAL NETWORK MATAGORDA, LLC

Doing business as

Matagorda Medical Group

Practice address

600 Hospital Cir
Suite 201
Bay City, TX 77414-4755

Phone

(979) 241-6100

NPI assigned

Sep 18, 2013

Last updated

May 13, 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

JJ Webb

Title

Manager

Phone

(806) 791-1591

Specialties & licenses 3

Addresses

Other names 1

• Matagorda Medical Group Doing business as

Tax ID family

Discovery Medical Network Matagorda LLC2 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.

• Discovery Medical Network Matagorda, LLC

  dba Matagorda Medical Group

  • Rural Health Clinic/Center
  • Bay City, TX
  • NPI 1225676604
  NPD tax ID

Locations

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1679909915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BROADWAY STE 1000",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013179",
            "telephone_number": "806-791-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL CIR",
            "address_2": "SUITE 201",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144755",
            "telephone_number": "979-241-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY MEDICAL NETWORK MATAGORDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "806-791-1591"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matagorda Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Dewoody
• Alysha Brooke Diaz, PA-C
• Maria Bernadette Dieringer, RPH
• Discovery Medical Network Matagorda LLC (Matagorda Medical Group)
• Discovery Medical Network Matagorda, LLC (Matagorda Medical Group)
• Shanta Dlima, M.D.
• Ha DO
• Dohaeris LLC (Travis Tomek, MD)
• Dr. Earl S. Brown Professional Corp
• Valeria Dubourdieu

• Family Medicine Physician in Bay City, TX
• Providers in Bay City, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.