NPIMap

Organization Active NPI

Memorial Medical Center of East Texas

  • Anesthesiology Physician
  • Lufkin, TX
National Provider Identifier
1992745368
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MEMORIAL MEDICAL CENTER OF EAST TEXAS
Practice address
1201 W Frank Ave
Lufkin, TX 75904-3357
Phone
(936) 639-3036
NPI assigned
Jun 7, 2006
Organization subpart
Yes
Parent organization
MEMORIAL MEDICAL CENTER OF EAST TEXASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Richard Ahrens
Title
Cfo Memorial Medical Center East TX
Phone
(936) 639-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1201 W Frank Ave
Lufkin, TX 75904-3357

Mailing address

PO Box 1447
Lufkin, TX 75902-1447
Phone (936) 639-3036

Other identifiers 1

IdentifierTypeStateIssuer
00H24NOtherTXBCBS

Other names 1

  • MMCET Anesthesia Group Doing business as

National Provider Directory

National Provider Directory
Part of
Ekg GRP Mmcet

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1992745368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759021447",
            "telephone_number": "936-639-3036",
            "fax_number": "936-639-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-639-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER OF EAST TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL MEDICAL CENTER OF EAST TEXAS",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "AHRENS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO MEMORIAL MEDICAL CENTER EAST TX",
        "authorized_official_telephone_number": "936-639-3036"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00H24N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMCET Anesthesia Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.