Sabine Hospitalist Physician Group, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

SABINE HOSPITALIST PHYSICIAN GROUP, LLC

Practice address

240 Highland Dr
Many, LA 71449-3718

Phone

(318) 256-5691

Fax

(318) 256-6539

NPI assigned

Sep 21, 2007

Last updated

Jun 26, 2009By 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

Charles Ray Pearson, M.D.NPI 1043258155

Title

Authorized Official

Phone

(318) 256-5691

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Charles Ray Pearson, MD

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1043258155
  NPD (past) Authorized official
• Patrick Carl Grayson, MD

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1720029275
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1710173893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5691",
            "fax_number": "318-256-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5691",
            "fax_number": "318-256-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABINE HOSPITALIST PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "318-256-5691",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029769",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robby Lang Enterprises Inc (Many Professional Pharmacy)
• Anna Robertson, FNP-C
• Jarrett Frank Rule, FNP
• Sabine Council on Aging, Inc.
• Sabine Emergency Medicine LLC
• Sabine Medical Associates, Inc (Husam Sukerek MD)
• Sabine Medical Associates, Inc (Husam Sukerek, MD)
• Sabine Medical Associates, Inc. (Husam Sukerek, M.D.)
• Sabine Medical Center
• Sabine Medical Center Inc (Sabine Medical Center)

• Hospitalist Physician in Many, LA
• Providers in Many, LA by specialty
• Hospitalist Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.