Discovery Medical Network Port Lavaca LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DISCOVERY MEDICAL NETWORK PORT LAVACA LLC

Practice address

815 N Virginia St
Port Lavaca, TX 77979-3025

Phone

(806) 791-1591

NPI assigned

Jan 3, 2012

Last updated

Oct 17, 2012By 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

Mark Havins

Title

Ceo

Phone

(806) 791-1591

Specialties & licenses 1

Addresses

Practitioners 4

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.

• Jonathan David Skelton, M.D.

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1396847919
  NPD (past)
• Guenther Muens, M.D

  • Emergency Medicine Physician
  • Silverdale, WA
  • NPI 1295779494
  NPD (past)
• Chinedum Ikemefuna Olisemeka, DO

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1740235076
  NPD (past)
• Wesley C Williams II, M.D.

  • Family Medicine Physician
  • New Castle, PA
  • NPI 1922066083
  NPD (past)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1992075303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134326",
            "telephone_number": "806-791-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793025",
            "telephone_number": "806-791-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY MEDICAL NETWORK PORT LAVACA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "HAVINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-791-1591"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Crowley III, D.O.
• Michelle Cummins, MD
• Deming Pediatrics PLLC
• Raymond P Dickey, OD
• Connor Dieringer, DPT
• Angela Marie-Garcia Dobbins, PA-C
• Kirsten Michelle Edwards, PHARMACY TECHNICIAN
• Epoch Pharmacy Solutions II LLC (Medicine Man Pharmacy-Port Lavaca)
• Ess of Port Lavaca LLC
• Leigh Ann Falcon, M.D.

• Obstetrics & Gynecology Physician in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.