NPIMap

Organization Active NPI

Ut Physicians

Doing business as Utp Beaumont

  • Pediatrics Physician
  • Beaumont, TX
National Provider Identifier
1740704675
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
UT PHYSICIANS
Doing business as
Utp Beaumont
Practice address
3610 Stagg Dr
Beaumont, TX 77701-3713
Phone
(409) 730-4700
NPI assigned
Aug 2, 2017
Last updated
Aug 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew Casas
Title
Chief Operating Officer
Phone
(832) 325-7325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3610 Stagg Dr
Beaumont, TX 77701-3713

Mailing address

PO Box 301173
Dallas, TX 75303-1173

Other identifiers 1

IdentifierTypeStateIssuer
371898302MedicaidTX

Other names 1

  • UTP BEAUMONT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Endocrinology Ucp68 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1740704675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 STAGG DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013713",
            "telephone_number": "409-730-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "CASAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "832-325-7325"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371898302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTP BEAUMONT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.