Individual provider Active NPI

Rebecca L Hough, MD

  • Pediatrics Physician
  • Longview, TX
National Provider Identifier
1891773040
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M2654 Issued in TX
Practice address
705 E Marshall Ave
Suite 1002
Longview, TX 75601-5573
Phone
(903) 247-7700
Fax
(903) 238-9185
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M2654 TX
Pediatrics Physician 208000000X M2654 TX Primary

Addresses

Primary practice location

705 E Marshall Ave
Suite 1002
Longview, TX 75601-5573

Mailing address

PO Box 4207
Longview, TX 75606-4207
Phone (903) 247-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070830000752 TX Practitioner - Pediatric Medicine 8022101476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2654TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Special Health Resources for Texas, Inc CurrentSince Jul 1, 2017 Accepting new patients
Special Health Resources for Texas, Incorporated Current Accepting new patients
Special Health Resources for Texas, Incorporated CurrentSince Jul 1, 2017 Accepting new patients

Locations

2030 S High St
Longview, TX 75602
Phone (903) 234-0936

409 N 6th St
Longview, TX 75601
Phone (903) 315-5520

402 N 7th St
Longview, TX 75601
Phone (903) 212-7170

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFADCA
  • Direct secure messaging: rebecca.hough@wchcl.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1891773040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756064207",
            "telephone_number": "903-247-7700",
            "fax_number": "903-238-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "SUITE 1002",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015573",
            "telephone_number": "903-247-7700",
            "fax_number": "903-238-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGH",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M2654",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.