NPIMap

Organization Active NPI

Longview Internal Medicine PLLC

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1982658464
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LONGVIEW INTERNAL MEDICINE PLLC
Practice address
2021 W Loop 281
Longview, TX 75604-2504
Phone
(903) 295-1396
Fax
(903) 759-5850
NPI assigned
May 20, 2006
Last updated
Aug 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Alex J Smith, M.D.
Title
Owner
Phone
(903) 295-1396

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X TX
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2021 W Loop 281
Longview, TX 75604-2504

Mailing address

PO Box 4207
Longview, TX 75606-4207
Phone (903) 315-5700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1982658464",
    "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": "903-315-5700",
            "fax_number": "903-315-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 W LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042504",
            "telephone_number": "903-295-1396",
            "fax_number": "903-759-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-295-1396",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.