DR. JAMISE CROOMS (NPI# 1104269810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104269810 |
| Entity Type | Individual |
| Full Name | DR. JAMISE CROOMS |
| Credential | M.D. |
| Practice Address |
1111 Augusta Dr Houston TX 77057-2209 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 7134422400 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Q7855 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 363284601 | 05 |
| Street Address |
1111 AUGUSTA DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77057-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467446021 | Meiyu Tammy Lai | Physical Medicine & Rehabilitation | 1111 Augusta Dr, Houston, TX 77057-2209 | 2005-09-09 |
| 1598207094 | Lisa Mook | Dietitian, Registered | 1111 Augusta Dr, Houston, TX 77057-2209 | 2016-11-15 |
| 1346795804 | Stephanie Lynn Boyd | Physician Assistant | 1111 Augusta Dr, Houston, TX 77057-2209 | 2016-08-24 |
| 1215399076 | Stephanie Vachirasudlekha | Family Medicine | 1111 Augusta Dr, Houston, TX 77057-2209 | 2016-03-22 |
| 1366827370 | Thomas Roosth | Pharmacist | 1111 Augusta Dr, Houston, TX 77057-2209 | 2015-07-21 |
| 1144602624 | Sarah Zafar | Pharmacist | 1111 Augusta Dr, Houston, TX 77057-2209 | 2015-06-22 |
| 1104208792 | Theresa Nguyen | Pharmacist | 1111 Augusta Dr, Houston, TX 77057-2209 | 2015-06-19 |
| 1760860381 | Emily Li Sou | Dermatology | 1111 Augusta Dr, Houston, TX 77057-2209 | 2015-05-14 |
| 1033553706 | Jessica Michelle Stull | Internal Medicine | 1111 Augusta Dr, Houston, TX 77057-2209 | 2013-04-24 |
| 1639414428 | Megan German Pallister | Obstetrics & Gynecology | 1111 Augusta Dr, Houston, TX 77057-2209 | 2012-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096810 | Valencia Annik Payne | Registered Nurse | 5850 San Felipe Street Suite 500, Houston, TX 77057 | 2019-08-01 |
| 1144874884 | Birds Eye View Optometry Tanglewood Pllc | Optometrist | 5706 San Felipe St, Suite # B400, Houston, TX 77057 | 2019-07-31 |
| 1780168484 | Promidel Group LLC | Durable Medical Equipment & Medical Supplies | 5850 San Felipe Suite 500, Houston, TX 77057 | 2018-09-18 |
| 1750862074 | Express Rehab LLC | Clinic/Center | 6301 Richmond Ave Ste 110, Houston, TX 77057 | 2018-08-24 |
| 1902398258 | Serene Springs Health & Wellness Clinic | Nurse Practitioner | 6300 Richmond Ave Ste 202, Houston, TX 77057 | 2018-06-02 |
| 1063965978 | Crystal Adodo | Nurse Practitioner | 5749 San Felipe, Houston, TX 77057 | 2016-07-27 |
| 1639553266 | Nova Healthcare In LLC | Preventive Medicine | 2425 Fountain View Dr. Suite 160, Houston, TX 77057 | 2015-07-14 |
| 1134502941 | Audiology Partners of Texas, LLC | Hearing Aid Equipment | 5781 Woodway Dr, Houston, TX 77057 | 2015-06-30 |
| 1417348491 | Verimed Health and Medical Wellness Clinic, Inc | Specialist | 6363 Richmond Avenue Suite 278, Houston, TX 77057 | 2015-02-11 |
| 1740688076 | Candus Irby | Technician | 6363 Beverly Hill St Suite 8, Houston, TX 77057 | 2014-12-19 |
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| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261002 | Cardiac Rhythm Center Pllc | Internal Medicine | 2527 Gramercy St, Houston, TX 77030-3107 | 2020-10-07 |
| 1891301438 | Primary Care of Houston Pllc | Internal Medicine | 19255 Park Row Ste 204b, Houston, TX 77084-7310 | 2020-09-18 |
| 1548876576 | Needmd Pllc | Internal Medicine | 1906 Mystic Arbor Ln, Houston, TX 77077-3546 | 2020-09-15 |
| 1417562919 | Privia Medical Group Gulf Coast, Pllc | Internal Medicine | 1140 Business Center Dr Ste 110, Houston, TX 77043-2749 | 2020-09-11 |
| 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 |
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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.