MR. OMAR DAMASO VIDAL (NPI# 1083635841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083635841 |
Entity Type | Individual |
Full Name | MR. OMAR DAMASO VIDAL |
Credential | M.D. |
Practice Address |
6750 West Loop South, Ste 830 Bellaire TX 77401 |
Practice Telephone | 7137510631 |
Practice Fax Number | 7137510605 |
Mailing Telephone | 7137510631 |
Mailing Fax Number | 7137510605 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2013-11-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | K8553 | TX | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
K8553 | TX | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
K8553 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICARE PPMC GROUP # | 0004CG | 01 |
TX | PAIN MANAGEMENT MEDICARE | P081292GU | 01 |
TX | MEDICARE RPK GROUP # | 0046CC | 01 |
BCBS | 80180Y | 01 | |
TX | MEDICAID BEAUMONT | 100841906 | 01 |
TX | P080565G5 | 05 | |
TX | BEAUMONT MEDICARE GROUP | 00747Y | 01 |
TX | BC/BS BEAUMONT | 85491G | 01 |
TX | MEDICARE BEAUMONT | 8E0572 | 01 |
TX | 079696301 | 05 |
Street Address |
6750 WEST LOOP SOUTH, STE 830 |
City | BELLAIRE |
State | TX |
Zip Code | 77401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780242123 | Hands of Houston Pllc | Surgery | 6704 Ferris, Bellaire, Texas, TX 77401 | 2019-05-31 |
1316423767 | Nancy Abraham | Pharmacist | 5160 Bissonnet St, Bellaire, TX 77401 | 2018-07-18 |
1356856033 | H-e-b, Lp | Clinical Medical Laboratory | 5106 Bissonnet St, Bellaire, TX 77401 | 2017-12-04 |
1457884371 | Damian Duplechain | Counselor | 5959 West Loop 610 South, Suite 600, Bellaire, TX 77401 | 2017-04-07 |
1659804672 | Stephanie Nelson | Behavioral Analyst | 6607 S Rice Ave, Bellaire, TX 77401 | 2017-04-06 |
1750839478 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 4710 Bellaire Blvd Ste 390, Bellaire, TX 77401 | 2016-09-12 |
1003287657 | Juna Medical LLC | Durable Medical Equipment & Medical Supplies | 5420 Bellaire Blvd, Suite C, Bellaire, TX 77401 | 2015-10-08 |
1366820201 | Jennifer Lorene Christian | Counselor | 5959 West Loop South, Suite 515, Bellaire, TX 77401 | 2015-05-12 |
1326430778 | Margaret Mcalpin Crady | Social Worker | 6750 West Loop South, # 860, Bellaire, TX 77401 | 2015-02-23 |
1952702193 | Sally Eisen Miller | Marriage & Family Therapist | 5909 West Loop S. #590, Bellaire, TX 77401 | 2014-09-08 |
Find all providers in zip 77401 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215141007 | Heidi Seifert, M.d., P. A. | Pain Medicine | 6565 West Loop S Ste 500, Bellaire, TX 77401-3505 | 2007-05-10 |
1780610899 | Abraham G Thomas | Pain Medicine | 5420 West Loop S Ste 4300, Bellaire, TX 77401-2122 | 2006-06-23 |
1548796030 | Shelby Marie Chambliss | Pain Medicine | 5420 West Loop S, Bellaire, TX 77401-2107 | 2017-05-03 |
1417308875 | Vision Park Interventional Pain Management, Pllc | Pain Medicine | 4747 Bellaire Blvd, Ste 500, Bellaire, TX 77401-4527 | 2016-06-28 |
1063863421 | Brazos Interventional Pain Consultants, Pllc | Pain Medicine | 4747 Bellaire Blvd, Ste 550, Bellaire, TX 77401-4527 | 2016-06-28 |
1841485034 | Abraham G. Thomas, M.d., P.a. | Pain Medicine | 5420 West Loop S, Ste. 4300, Bellaire, TX 77401-2107 | 2007-09-11 |
1710982798 | Heidi J. Seifert | Pain Medicine | 6565 West Loop S, Ste 500, Bellaire, TX 77401-3500 | 2005-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
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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.