MRS. SHALLA M PROCTOR (NPI# 1194759357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194759357 |
| Entity Type | Individual |
| Full Name | MRS. SHALLA M PROCTOR |
| Other Name | SHALLA M KHALIL |
| Credential | P.A. |
| Practice Address |
2655 W Baker Rd Baytown TX 77521-2206 |
| Practice Telephone | 2814259205 |
| Practice Fax Number | 2814229408 |
| Mailing Telephone | 2814259205 |
| Mailing Fax Number | 2814229408 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA08411 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 15-01112 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2655 W BAKER RD |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966459 | Dominique A Moore | Nurse Practitioner | 2655 W Baker Rd, Baytown, TX 77521-2206 | 2017-07-31 |
| 1336521897 | Khurram I Khan | Internal Medicine | 2655 W Baker Rd, Baytown, TX 77521 | 2015-06-22 |
| 1457364143 | Mohammed Abdul Hameed | Internal Medicine | 2655 W Baker Rd, Baytown, TX 77521-2206 | 2006-08-14 |
| 1053339416 | Kamran Ahmed Khan | Internal Medicine | 2655 W Baker Rd, Baytown, TX 77521-2206 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578031415 | Robert Lewis | Physician Assistant | 4301 Garth Rd Ste 309, Baytown, TX 77521-3159 | 2018-11-08 |
| 1740706993 | Alessandra Cashio | Physician Assistant | 8831 N Highway 146, Baytown, TX 77523 | 2017-08-19 |
| 1922254614 | Lucy Willett Roberts | Physician Assistant | 1876 East Fwy, Baytown, TX 77521 | 2008-08-13 |
| 1477615649 | Mary Ann Browning | Physician Assistant | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3846 | 2006-12-14 |
| 1376650705 | Hilari Beth Berklund | Physician Assistant | 507 Rollingbrook Dr, Baytown, TX 77521-4036 | 2006-08-23 |
| 1134132111 | Kristy L Cooley Obrien | Physician Assistant | 2802 Garth Road, Suite 309, Baytown, TX 77521 | 2006-08-14 |
| 1952959801 | Erica Burns | Physician Assistant | 4201 Garth Rd Ste 100, Baytown, TX 77521 | 2019-09-03 |
| 1134651987 | Joshua Michael Clark | Physician Assistant | 720 Rollingbrook St, Baytown, TX 77521-4059 | 2017-03-31 |
| 1336521277 | Laquinta Metoyer | Physician Assistant | 2800 Garth Rd, Suite E, Baytown, TX 77521-3947 | 2015-06-28 |
| 1619366119 | Nichola Jane Meredith | Physician Assistant | 4308 Allenbrook Dr, Baytown, TX 77521-3200 | 2015-01-21 |
| Find all providers in BAYTOWN | ||||
Please comment or provide details below to improve the information on MRS. SHALLA M PROCTOR.
| 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.