Southeast Texas Internal Medicine, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J9675 Issued in TX

Legal business name

SOUTHEAST TEXAS INTERNAL MEDICINE, PA

Practice address

7980 Anchor Dr
BLDG. 400
Port Arthur, TX 77642-8266

Phone

(409) 729-7030

Fax

(409) 729-7015

NPI assigned

Feb 27, 2006

Last updated

Jun 23, 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. Anthony O. Gambrah, MD. FACP

Title

Attending Physician

Phone

(409) 729-7030

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Anthony O. Gambrah Sampaney, MD. FACP

  • Internal Medicine Physician
  • Port Arthur, TX
  • NPI 1891787115
  Medicare reassignment NPD

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1730155995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20477",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777200477",
            "telephone_number": "409-729-7030",
            "fax_number": "409-729-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR",
            "address_2": "BLDG. 400",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428266",
            "telephone_number": "409-729-7030",
            "fax_number": "409-729-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "GAMBRAH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "409-729-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD. FACP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143474801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South East Texas Laser Eye Institute
• Southeast Emergency Medicine Associates, PA
• Southeast Texas Heart and Lung Surgeons, LLP
• Southeast Texas Hematology and Oncology Center, PA
• Southeast Texas Inpatient Physician Associates
• Southwest LTC Gulf Healthcare LTD (Gulf Healthcare Center Port Arthur)
• Shernakia S Spencer, PHARMD.
• Sreedhar Polavarapu MD PA
• Lavanya Janardan Srinivasan, RD
• Standard Medical Clinic, PA

• Internal Medicine Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.