DIMITRIOS MANTZOROS (NPI# 1154571883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154571883 |
| Entity Type | Organization |
| Organization Name | DIMITRIOS MANTZOROS |
| Practice Address |
100 Medical Center Blvd Ste 216 Conroe TX 77304-2888 |
| Practice Telephone | 9367569191 |
| Mailing Telephone | 9367569191 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | DR. DIMITRIOS MANTZOROS (PHYSICIAN) |
| Authorized Official Telephone | 9367569191 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1068 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 180128401 | 05 |
| Street Address |
100 MEDICAL CENTER BLVD STE 216 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813619 | June-chieh Chang | Legal Medicine | 100 Medical Center Blvd, Ste 102, Conroe, TX 77304-2821 | 2005-06-29 |
| 1063870269 | Carrye Boris | Nurse Practitioner | 100 Medical Center Blvd, Ste 200, Conroe, TX 77304-2888 | 2016-02-02 |
| 1184046070 | Saulette Queen, Md, Pllc | Internal Medicine | 100 Medical Center Blvd, Ste. 200, Conroe, TX 77304-2888 | 2014-01-10 |
| 1114275500 | Natallia Echeandia | Specialist | 100 Medical Center Blvd, Ste 213, Conroe, TX 77304-2888 | 2012-08-16 |
| 1437405875 | Wesley T. Myers, Md Pa | Specialist | 100 Medical Center Blvd, Ste 213, Conroe, TX 77304 | 2012-08-02 |
| 1356589956 | Preeti Desai | Internal Medicine | 100 Medical Center Blvd, Suite 200, Conroe, TX 77304-2888 | 2009-02-04 |
| 1174769921 | Christopher Wong Md Pa | Internal Medicine | 100 Medical Center Blvd, Ste 213, Conroe, TX 77304-2888 | 2008-12-29 |
| 1881857951 | Timothy Casperson | Podiatrist | 100 Medical Center Blvd, Suite 216, Conroe, TX 77304-2888 | 2008-07-08 |
| 1962674804 | Yousuf Ahmed,md Pa | Pediatrics | 100 Medical Center Blvd, Suite 110, Conroe, TX 77304-2888 | 2008-04-01 |
| 1245429158 | John A Adiet | Family Medicine | 100 Medical Center Blvd, Ste 104, Conroe, TX 77304-2821 | 2007-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196913 | Kalos Health Services | Durable Medical Equipment & Medical Supplies | 1414 S Frazier St Ste 109, Conroe, TX 77301-4475 | 2019-10-28 |
| 1184169740 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 233 Sgt Ed Holcomb Blvd S Ste 100, Conroe, TX 77304-1990 | 2017-01-05 |
| 1710334370 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3711 W Davis St, Conroe, TX 77304-1835 | 2016-05-24 |
| 1992142574 | Charlotte Ann Garrett | Durable Medical Equipment & Medical Supplies | 115 Ponderosa Trail, Conroe, TX 77301 | 2013-05-23 |
| 1619231412 | Medical Plus Supplies Inc | Durable Medical Equipment & Medical Supplies | 109 Rhodes St, Conroe, TX 77301-4425 | 2012-06-27 |
| 1114161387 | Corf Holdings of Texas,inc | Durable Medical Equipment & Medical Supplies | 813 I 45 S, Conroe, TX 77301-4250 | 2009-04-30 |
| 1003063355 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3901 E Davis St, Conroe, TX 77301-7236 | 2008-08-19 |
| 1467598664 | Conroe Medical Equipment | Durable Medical Equipment & Medical Supplies | 903 N Loop 336 W, Suite B, Conroe, TX 77301-1188 | 2007-01-29 |
| 1235224833 | Rhema Med Services Inc | Durable Medical Equipment & Medical Supplies | 804 Gladstell, Ste #120, Conroe, TX 77304 | 2006-10-03 |
| 1730287046 | Hauser Orthotics & Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 507 Waco St, Conroe, TX 77301-2332 | 2006-09-20 |
| Find all providers in CONROE | ||||
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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.