Beaumont Nephrology Associates

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BEAUMONT NEPHROLOGY ASSOCIATES

Practice address

930 Marvin Hancock Dr
Room a
Jasper, TX 75951-4752

Phone

(409) 212-9240

Fax

(409) 212-9239

NPI assigned

Mar 5, 2008

Last updated

Jun 4, 2010By 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

Dr. Jose Lozano, MD

Title

President

Phone

(409) 212-9240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Beaumont Nephrology Associates

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1174639892

  O20051026000086

  Same enrollment

Locations

Practitioners 5

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.

• Ajith Kuriakose, MD

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1073772224
  NPD
• Carline Pierre-Louis Cenatus, PA

  • Physician Assistant
  • Beaumont, TX
  • NPI 1386972172
  NPD (past)
• Elias N Ezike, MD

  • Pediatrics Physician
  • Beaumont, TX
  • NPI 1811902307
  NPD (past)
• Mary Manuel, MD

  • Pediatrics Physician
  • Beaumont, TX
  • NPI 1518962364
  NPD (past)
• Timi A Akins, MD

  • Nephrology Physician
  • Madisonville, KY
  • NPI 1023099561
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1710157722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST",
            "address_2": "#100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021154",
            "telephone_number": "409-212-9240",
            "fax_number": "409-212-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MARVIN HANCOCK DR",
            "address_2": "ROOM A",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514752",
            "telephone_number": "409-212-9240",
            "fax_number": "409-212-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-212-9240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon K Bae, PHARMD
• Stepanka Baggett, MD
• Marcus Dwayne Barber Sr.
• Kamesha Jennel Barnes, CPN, FNP-C
• Jessica N Beard, FNP
• James Leo Begnaud, LCDC
• Belinda Kaye McGraw (Medicine Shoppe)
• Leola Bellamy
• Better Living Medical Equipment & Services, LTD.
• BFC Healthcare, P.a. (Jasper Imaging and Diagnostics)

• Nephrology Physician in Jasper, TX
• Providers in Jasper, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.