Sam G Thoyakulathu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J5496 Issued in TX

Practice address

1211 East Sixth St
Suite 300
Bonham, TX 75418

Phone

(903) 640-1422

Fax

(903) 640-4275

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Sam T George, PA

  • Internal Medicine Physician
  • Bonham, TX
  • NPI 1275730707
  Authorized official Same address or phone

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952491771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 EAST SIXTH ST",
            "address_2": "SUITE 300",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "75418",
            "telephone_number": "903-640-1422",
            "fax_number": "903-640-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 EAST SIXTH ST",
            "address_2": "SUITE 300",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "75418",
            "telephone_number": "903-640-1422",
            "fax_number": "903-640-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOYAKULATHU",
        "first_name": "SAM",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J5496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0017ER",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Emergency Room Services, PA
• Texas Eye Solutions PA
• Texomacare (TexomaCare Bonham)
• Ashley Thompson, LMSW
• Reed William Thompson
• Tyler Todd, PT
• Total Renal Care Texas Limited Partnership (Bonham Dialysis)
• Gregory L Towe, RPH
• Trenton Isd
• Trusted Care Home Health LLC (Trusted Care Home Health)

• Internal Medicine Physician in Bonham, TX
• Providers in Bonham, 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 Jul 8, 2007; 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.