Internal Medicine Associates of Palestine, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE ASSOCIATES OF PALESTINE, PA

Practice address

2217 S Sycamore St
Palestine, TX 75801-4786

Phone

(903) 729-3993

NPI assigned

Jan 12, 2007

Last updated

Nov 15, 2007By 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

Lloyd Michael Wilkinson, MDNPI 1013926427

Title

President

Phone

(903) 729-3993

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

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.

• Kelley Elizabeth Slate, FNP-C

  • Family Nurse Practitioner
  • Palestine, TX
  • NPI 1629601810
  Medicare reassignment Care Compare group NPD
• Relvert J. Coe Jr., M.D.

  • Internal Medicine Physician
  • Palestine, TX
  • NPI 1215946637
  Medicare reassignment Care Compare group
• Robert G. Pyle, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Palestine, TX
  • NPI 1821007253
  Medicare reassignment Care Compare group
• Randal J Horn, M.D.

  • Internal Medicine Physician
  • Palestine, TX
  • NPI 1619074051
  Medicare reassignment
• Lloyd Michael Wilkinson, M.D.

  • Gastroenterology Physician
  • Palestine, TX
  • NPI 1013926427
  Authorized official Same address or phone
• Michelle Lee Green, FNP

  • Nurse Practitioner
  • Palestine, TX
  • NPI 1205434057
  NPD (past)
• Basti J. Thampoe, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1063421303
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1932259603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014786",
            "telephone_number": "903-729-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014786",
            "telephone_number": "903-729-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF PALESTINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-729-3993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083263601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS0269",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hullabaloo Pediatric Therapy PLLC
• Patricia Joann Hunt
• Mariam Fatima Hussain, MD
• In-Home Partner of Texas-I, LLC (Palestine Regional Home Health)
• Innovations Surgery Center, LP
• J. Don Jackson Jr, MD, PA
• James Don Jackson Jr., MD, PA
• Jaclyn Bailes Counseling PLLC
• James Orthodontics, Inc.
• Cheryl Ann James

• Internal Medicine Physician in Palestine, TX
• Providers in Palestine, 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 Nov 15, 2007; 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.