RANDAL R STAVINOHA (NPI# 1124114301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124114301 |
| Entity Type | Individual |
| Full Name | RANDAL R STAVINOHA |
| Credential | MD |
| Practice Address |
2727 W Holcombe Blvd Houston TX 77025-1669 |
| Practice Telephone | 7134420000 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
J2355 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 117568906 | 05 | |
| TX | 117568903 | 05 | |
| TX | 117568904 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15655 Cypress Wood Medical Dr Ste 100, Houston, TX 770141487 | 7134421700 | |
| 1111 Augusta Dr, Houston, TX 770572209 | 7134422400 |
| Street Address |
2727 W HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77025-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915255 | Kelsey-seybold Medical Group, Pllc | Radiology | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2005-07-12 |
| 1386277432 | Melissa D Castillo | Dietitian, Registered | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2020-02-18 |
| 1932746724 | Monique-muna Saleh | Physician Assistant | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2019-11-29 |
| 1669013371 | Tiffany Nassif | Physician Assistant | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2019-10-03 |
| 1629623566 | Ronwick A Lewis | Physician Assistant | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2019-08-07 |
| 1467019703 | Raven Arielle Atkins | Chiropractor | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2019-05-22 |
| 1184288243 | Erika Kristen Desimone | Nurse Practitioner | 2727 W Holcombe Blvd, Houston, TX 77025 | 2019-04-24 |
| 1013474337 | Jimmy George | Physician Assistant | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2019-02-22 |
| 1710442199 | Dionne Wynisha Rideau | Nurse Practitioner | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2019-02-10 |
| 1336627199 | Charmaigne Threadgill | Nurse Practitioner | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2018-08-03 |
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| 1154949113 | Arrhythmia Care Center Pllc | Internal Medicine | 3501 Link Valley Drive Unit 305, Houston, TX 77025 | 2020-07-07 |
| 1760041578 | Beloved Dental Pllc | Dentist | 4130 Bellaire Blvd, Suite 214, Houston, TX 77025 | 2019-06-06 |
| 1245894294 | Gac Dental Pllc | Dentist | 9540 South Main St., Ste 100, Houston, TX 77025 | 2019-04-25 |
| 1255864930 | South Loop Dentistry, P.C. | Dentist | 3264 South Loop W., Houston, TX 77025 | 2017-04-10 |
| 1124489133 | Dominique Bernard Singleton | Social Worker | 7300 Brompton Street, Ap:5436, Houston, TX 77025 | 2016-03-18 |
| 1528493707 | Innerwisdom | Health Maintenance Organization | 13038 Bamboo Forest Trl, Houston, TX 77025 | 2013-09-06 |
| 1356686562 | Pulmonary Rx | Durable Medical Equipment & Medical Supplies | 10019 S. Main St., Suite A9-d, Houston, TX 77025 | 2012-11-29 |
| 1548512916 | Jason Thompson | Dentist | 3728 Main Poplar Dr, Houston, TX 77025 | 2012-10-10 |
| 1164772745 | Linda Freeman | Speech-Language Pathologist | 7300 Brompton, #6114, Houston, TX 77025 | 2012-09-11 |
| 1508115197 | Albert Edward Gunn | Internal Medicine | 3514 Glen Haven Boulevard, Houston, TX 77025 | 2012-08-29 |
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| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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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| 1699246884 | Aaron Fowler | Internal Medicine | 1401 Flanagan Farm Dr, Northlake, TX 76226-1971 | 2018-12-16 |
| 1942217765 | Ernest T Roman | Internal Medicine | 6225 Fm 2920 Rd Ste 205, Spring, TX 77379-3474 | 2006-08-02 |
| 1679516652 | Jennifer Marie Bontreger | Internal Medicine | 2014 Justin Rd, Suite 104, Highland Village, TX 75077-7161 | 2006-06-14 |
| 1417203894 | Adam Malouf Parsons | Internal Medicine | 9239 Vista Way, Benbrook, TX 76126-2451 | 2012-08-03 |
| 1821353400 | Akas Siddiqui | Internal Medicine | 561 N Graham St, Stephenville, TX 76401-3548 | 2012-07-10 |
| 1174891246 | Adam David Weglein Do & Associates Pa | Internal Medicine | 6800 West Loop S, Ste 500, Bellaire, TX 77401-4528 | 2011-12-05 |
| 1669767737 | Best Service Pain & Rehabilitation Center of Dallas | Internal Medicine | 5510 Abrams Rd, Suite 112, Dallas, TX 75214-2000 | 2011-06-16 |
| 1700029196 | David Christopher Tietze | Internal Medicine | 1801 Inwood Rd, Wa4.306, Dallas, TX 75390-8883 | 2009-04-14 |
| 1205074606 | Progressive Orthopedics & Pain Management, Pa | Internal Medicine | 6225 Fm 2920 Rd Ste 205, Spring, TX 77379-3474 | 2009-01-23 |
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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.