Smitha E Oommen MD PLLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

N7853 Issued in TX

Legal business name

SMITHA E OOMMEN MD PLLC

Practice address

3560 Delaware St Ste 1104
Beaumont, TX 77706-3000

Phone

(409) 347-8870

Fax

(409) 554-0016

NPI assigned

Dec 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Smitha Elizabeth Oommen, M.D.NPI 1184829764

Title

Owner

Phone

(409) 212-5967

Specialties & licenses 2

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.

• Smitha Elizabeth Oommen, MD

  • Medical Oncology Physician
  • Beaumont, TX
  • NPI 1184829764

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1891064200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 1104",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063000",
            "telephone_number": "409-347-8870",
            "fax_number": "409-554-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST STE 1104",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063000",
            "telephone_number": "409-347-8870",
            "fax_number": "409-554-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Stagg Dr",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014509",
            "country_code": "US",
            "telephone_number": "409-212-5967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMITHA E OOMMEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "OOMMEN",
        "authorized_official_first_name": "SMITHA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-212-5967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N7853",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "N7853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley M Smith, OT
• Taylor Michael Smith, PMHNP, FNP
• Tony Smith, LBSW
• Vanessa Randel Smith, M.S. SLP
• Xuan N Smith, RN CNOR RNFA
• Dena R Smolsky, LCDC
• Marilyn S. Sobeck, RN,MS,FNP-C
• Santos Marcelo Soberon, M.D.
• Steven Adam Socher, M.D.
• Social Butterfly International

• Medical Oncology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Medical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.