GULF COAST DIAGNOSTIC SERVICES
NPI 1710970066
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Beaumont, TX

NPI Status: Active since August 23, 2005

Contact Information

2929 CALDER ST
SUITE 100
BEAUMONT, TX
ZIP 77702
Phone: (409) 233-9797
Fax: (409) 839-3174

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About GULF COAST DIAGNOSTIC SERVICES

This page provides the complete NPI Profile along with additional information for Gulf Coast Diagnostic Services, a provider established in Beaumont, Texas operating as a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The healthcare provider is registered in the NPI registry with number 1710970066 assigned on August 2005. The practitioner's primary taxonomy code is 335V00000X with license number R25266 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Gulf Coast Diagnostic Services. The authorized official of this NPI record is Mr. Richard Bryant Rn (Chief Operations Officer)

NPI
1710970066
Provider Legal Name
SOUTHEAST TEXAS MEDICAL ASSOCIATES
Other Organization Name
GULF COAST DIAGNOSTIC SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2929 CALDER ST SUITE 100 BEAUMONT, TX 77702
Location Phone
(409) 233-9797
Location Fax
(409) 839-3174
Mailing Address
2929 CALDER ST SUITE 100 BEAUMONT, TX 77702
Mailing Phone
(409) 833-9797
Mailing Fax
(409) 839-3174
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-23-2005
Last Update Date
11-08-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Code
335V00000X
Type
Suppliers
License No.
R25266
License State
TX
Taxonomy Description
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RICHARD BRYANT RN

Authorized Official Title
CHIEF OPERATIONS OFFICER
Authorized Official Phone
(409) 833-9797

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9540801MEDICAID (05)TX 
690009531MEDICARE PIN (08)TX 
630001502MEDICARE PIN (08)TX 
459881MEDICARE PIN (08)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710970066
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201870012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 7 + 0 + 0 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1710970066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932104536WELDON E COLLINS MD
Organization
Specialist2929 CALDER ST STE 312
BEAUMONT, TX 77702
(409) 835-1333
1174521843DR. EDWARD F ROD JR. D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)2929 CALDER ST #302
BEAUMONT, TX 77702
(409) 832-2532
1366511339EDWARD F ROD JR, DDS, INC.
Organization
Dentist (Oral and Maxillofacial Surgery)2929 CALDER ST #302
BEAUMONT, TX 77702
(409) 832-2532
1083778161MRS. JACQUELINE MARTIN R. N.
Individual
Registered Nurse2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1538293642MS. SHERRI BLACKWELL R. N.
Individual
Registered Nurse2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1477748663 CHARLES R CHRISTY RN MSN CFNP
Individual
Nurse Practitioner (Family)2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1255776498VIDA KELLER RISTON RN CNM PC
Organization
Nurse Practitioner (Family)2929 CALDER ST
BEAUMONT, TX 77702
(409) 838-4472
1639361926MR. JEFFERY BLAIR DEMUTH L.P.C.
Individual
Counselor (Professional)2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1760692867 STEVEN CHRISTIANSEN MURDOCK L.P.C.
Individual
Counselor (Professional)2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1922001312SOUTHEAST TEXAS MEDICAL ASSOCIATES, LLP
Organization
Family Medicine2929 CALDER ST STE 100
BEAUMONT, TX 77702
(409) 833-9797
1922001296 JAMES L HOLLY M. D.
Individual
Family Medicine2929 CALDER ST STE 100
BEAUMONT, TX 77702
(409) 833-9797
1851394100 VINCENT MURPHY M. D.
Individual
Family Medicine2929 CALDER ST STE 100
BEAUMONT, TX 77702
(409) 833-9797
1023010337MRS. SANDRA FOWLER MSN FNP
Individual
Nurse Practitioner (Family)2929 CALDER ST STE 100
BEAUMONT, TX 77702
(409) 833-9797
1508868811MRS. DANA HENDERSON RN,MSN,CFNP
Individual
Nurse Practitioner (Family)2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1922000215MRS. JULIE MCCLURE RN, MSN, CFNP
Individual
Nurse Practitioner (Family)2929 CALDER ST STE 100
BEAUMONT, TX 77702
(409) 833-9797
1174529408DR. CAESAR DEIPARINE M.D.
Individual
Family Medicine2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1518969500 RONALD PALANG MD
Individual
Internal Medicine2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1326021858MS. NORMA DUNCAN RN,MSN,CFNP
Individual
Nurse Practitioner (Family)2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1790892396 JULIUS F DEIPARINE MD
Individual
Psychiatry & Neurology (Neurology)2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797
1316483092MRS. LYDIA BUNDICK RN
Individual
Nurse Practitioner (Gerontology)2929 CALDER ST SUITE 100
BEAUMONT, TX 77702
(409) 833-9797

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710970066, enumerated in the NPI registry as an "organization" on August 23, 2005

The provider is located at 2929 Calder St Suite 100 Beaumont, Tx 77702 and the phone number is (409) 233-9797

This medical organization specializes in Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.