First Ascent Medical of East Texas, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M7456 Issued in TX

Legal business name

FIRST ASCENT MEDICAL OF EAST TEXAS, PA

Practice address

2830 Calder St
Beaumont, TX 77702-1809

Phone

(409) 455-1071

Fax

(409) 232-0574

NPI assigned

Aug 2, 2012

Last updated

Sep 3, 2012By 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. Martin Joseph Munroe, M.D.NPI 1649476656

Title

Owner

Phone

(409) 455-1071

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Martin J Munroe, M.D.

  • Adult Medicine Physician
  • Beaumont, TX
  • NPI 1649476656
  NPD (past) Authorized official

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346630400000",
    "number": "1710233226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 SILVERLEAF ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073637",
            "telephone_number": "409-455-1071",
            "fax_number": "409-232-0574"
        },
        {
            "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": "409-455-1071",
            "fax_number": "409-232-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ASCENT MEDICAL OF EAST TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-09-03",
        "status": "A",
        "authorized_official_last_name": "MUNROE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-455-1071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Figlia, CCC-SLP
• Ashley Danielle Finch, DO
• Katelyn Finch, LVN
• Joseph M Finley, MD
• Maria F Fiocchi, D.D.S
• First Choice Children's Homecare, LP (Thrive Skilled Pediatric Care)
• Demeatrice Nicole Fisher
• Bridgett Fisk, NP
• Fitt Medical Clinic PLLC
• Jessica Fitzgerald, OTR/L

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, 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 Sep 3, 2012; 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.