Mymd Connect, PLLC

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

MYMD CONNECT, PLLC

Practice address

3614 N University Dr
Nacogdoches, TX 75965-2539

Phone

(936) 645-6008

Fax

(936) 205-9923

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy S Smith, MDNPI 1275594848

Title

Owner

Phone

(936) 645-6008

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Scott Smith, MD

  • Family Medicine Physician
  • Nacogdoches, TX
  • NPI 1275594848
  NPD Authorized official

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1932777513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-205-9922",
            "fax_number": "936-205-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-645-6008",
            "fax_number": "936-205-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMD CONNECT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-645-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MSPF II Nacogdoches Oe LP (Stallings Court Nursing and Rehabilitation Center)
• Catharine Munguia, LCSW
• April Evette Munoz
• Alicia Guajardo Murphy, MD
• Kevin Lee Murphy, PA-C
• Mymd Select
• Jordyn Myska
• N Med
• Nachoniche Properties, LLC (Oak Manor Nursing Home)
• Nacogdoches Cardiac Center, P.a.

• Corporate Health Clinic/Center in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Corporate Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.