NPIMap

Organization Active NPI

Mexia Principal Healthcare Limited Partnership

Doing business as Parkview Medical Clinic of Streetman

  • Family Medicine Physician
  • Streetman, TX
National Provider Identifier
1780249078
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Doing business as
Parkview Medical Clinic of Streetman
Practice address
203 North Houston St
Streetman, TX 75859-8094
Phone
(903) 599-1707
Fax
(903) 599-1107
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Sharlee Lebleu
Title
Sr. Director Provider Enrollment
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

203 North Houston St
Streetman, TX 75859-8094

Mailing address

330 Seven Springs Way
Atten: Provider Enrollment
Brentwood, TN 37027
Phone (615) 920-7000

Other names 1

  • Parkview Medical Clinic of Streetman Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050927000848 TX Part B Supplier - Clinic/Group Practice 8921911876 Receives reassigned benefits from 23 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Groesbeck, TX; Mexia, TX; Teague, TX

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

203 N Houston St
Streetman, TX 75859
Phone (903) 599-1707

101 Anthony Dr
Teague, TX 75860
Phone (254) 739-5655

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1780249078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "address_2": "ATTEN: PROVIDER ENROLLMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NORTH HOUSTON ST",
            "city": "STREETMAN",
            "state": "TX",
            "postal_code": "758598094",
            "telephone_number": "903-599-1707",
            "fax_number": "903-599-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "LEBLEU",
        "authorized_official_first_name": "SHARLEE",
        "authorized_official_title_or_position": "SR. DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Medical Clinic of Streetman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Streetman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.