Sreeman Jampana, MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SREEMAN JAMPANA, MD, PLLC

Practice address

1603 Judson Rd
Longview, TX 75601-3649

Phone

(903) 758-4491

Fax

(903) 758-0993

NPI assigned

Apr 12, 2019

Last updated

Apr 12, 2019By 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

Sreeman Jampana, MDNPI 1790776466

Title

Physican/Owner

Phone

(903) 758-4491

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Sreeman N Jampana, M.D.

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1790776466
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1851854178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013649",
            "telephone_number": "903-758-4491",
            "fax_number": "903-758-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013649",
            "telephone_number": "903-758-4491",
            "fax_number": "903-758-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SREEMAN JAMPANA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "JAMPANA",
        "authorized_official_first_name": "SREEMAN",
        "authorized_official_title_or_position": "PHYSICAN/OWNER",
        "authorized_official_telephone_number": "903-758-4491",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Longview, TX
• Providers in Longview, 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 Apr 12, 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.