RONALD WAYNE KILLAM (NPI# 1013960228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013960228 |
| Entity Type | Individual |
| Full Name | RONALD WAYNE KILLAM |
| Credential | MD |
| Practice Address |
11821 East Fwy Ste 175 Houston TX 77029-1960 |
| Mailing Address |
Po Box 96406 Houston TX 77213-6406 |
| Practice Telephone | 7133300766 |
| Practice Fax Number | 8778628370 |
| Mailing Telephone | 7133300766 |
| Mailing Fax Number | 8778628370 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | H5715 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 10014941 | 05 | |
| TX | 111525505 | 05 | |
| TX | TAX IDENTIFICATION | 460986471 | 01 |
| TX | BLUE CROSS SHIELD | 8K3280 | 01 |
| TX | GROUP NPI | 1518219104 | 01 |
| TX | TAX IDENTIFICATION | 810621291 | 01 |
| TX | BLUECROSS BLUESHIELD | 00511B | 01 |
| TX | 111525504 | 05 | |
| TX | 111525501 | 05 | |
| TX | BLUECROSS BLUESHIELD | 8Z1542 | 01 |
| Street Address |
11821 EAST FWY STE 175 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77029-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871027649 | Maria Agholor | Nurse Practitioner | 11821 East Fwy Ste 175, Houston, TX 77029-1960 | 2017-04-18 |
| 1366983652 | Erin Ambrose | Nurse Practitioner | 11821 East Fwy Ste 175, Houston, TX 77029-1960 | 2017-03-20 |
| 1649637489 | Peter Chan | Nurse Practitioner | 11821 East Fwy Ste 175, Houston, TX 77029-1960 | 2016-01-25 |
| 1518219104 | East Houston Physicians Group, Pa | Internal Medicine | 11821 East Fwy Ste 175, Houston, TX 77029-1960 | 2012-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962052977 | Cassandra Long Davenport | Technician | 8522 Tilgham St., Houston, TX 77029 | 2019-09-12 |
| 1184937427 | Allstar Pharmacy LLC | Pharmacy | 11410 E. I-10 Freeway Suite 164, Houston, TX 77029 | 2010-07-15 |
| 1619097383 | Todd A Simon | Physical Therapist | 10909 I-10 E Frwy, Houston, TX 77029 | 2007-03-29 |
| 1497810352 | James Andrew Paskow | Family Medicine | 8799 Loop 610 East, Suite 250, Houston, TX 77029 | 2006-12-22 |
| 1659449403 | Ray Anders Denson | Family Medicine | 1414 Holland Ave, Houston, TX 77029 | 2006-12-01 |
| 1396812459 | E Harris County Hospice Services Inc | Hospice Care, Community Based | 1313 Holland Ave, Bldg 2, Houston, TX 77029 | 2006-11-30 |
| 1740363688 | Richard Gary Trifiro | Family Medicine | 8799 North Loop, East, Suite 110, Houston, TX 77029 | 2006-10-23 |
| 1962595512 | Extended Care Ems | Ambulance | 10209 Market St., A, Houston, TX 77029 | 2006-10-02 |
| 1396842910 | Lloyd Curtis James Jr. | Dentist | 918 Mercury, B, Houston, TX 77029 | 2006-09-17 |
| 1568579951 | John J Connell | Chiropractor | 10934 I-10 East Freeway, Houston, TX 77029 | 2006-08-23 |
| Find all providers in zip 77029 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1174133870 | Houston Family Medicine & Pediatrics Pllc | Internal Medicine | 10101 Bissonnet St Ste 105a, Houston, TX 77036-7856 | 2020-08-06 |
| 1285250308 | Vzsss Inc | Internal Medicine | 11410 East Fwy Ste 164, Houston, TX 77029-2028 | 2020-06-24 |
| 1134744873 | Manoj B Vakil Md Pa | Internal Medicine | 1801 North Loop W Ste 42, Houston, TX 77008-1445 | 2020-06-09 |
| 1912526997 | Obur Health Pa | Internal Medicine | 1700 Post Oak Blvd Ste 600, Houston, TX 77056-3973 | 2020-04-10 |
| 1841824489 | Senior Care Providers Pllc | Internal Medicine | 1910 Aspley Ct, Houston, TX 77094-3431 | 2020-02-22 |
| 1306478730 | Sunny Medical Care Pllc | Internal Medicine | 18220 State Highway 249 Ste 100, Houston, TX 77070-4349 | 2020-02-04 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.