KEITH D VASSALLO (NPI# 1205922499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205922499 |
| Entity Type | Individual |
| Full Name | KEITH D VASSALLO |
| Credential | MD |
| Practice Address |
8233 N Sam Houston Pkwy E Humble TX 77396 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 7134422000 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | K5059 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 151834203 | 05 | |
| TX | 151834204 | 05 | |
| TX | 151834202 | 05 | |
| TX | 151834201 | 05 |
| Street Address |
8233 N SAM HOUSTON PKWY E |
| City | HUMBLE |
| State | TX |
| Zip Code | 77396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659357374 | Rosemary Schempp | Internal Medicine | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2005-12-15 |
| 1639608383 | Jean J John | Family Medicine | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2017-06-07 |
| 1750764593 | Carol Annette Bible | Pharmacist | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2015-06-29 |
| 1295179547 | Nisha Rathore | Pediatrics | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2013-04-17 |
| 1750635777 | Thuyminh Thi Nguyen | Family Medicine | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2012-10-29 |
| 1033430087 | Sunaina Bhuchar Likhari | Dermatology | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2010-06-14 |
| 1063606499 | Madeline Anderson Hunt | Family Medicine | 8233 N Sam Houston Pkwy E, Humble, TX 77396 | 2007-08-29 |
| 1568540052 | Evette Kingcaid | Family Medicine | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2006-11-01 |
| 1104849298 | Adam Michael Mitchell | Internal Medicine | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2006-07-26 |
| 1407875198 | Veronica Pauline Garza | Physician Assistant | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361570 | Lawanza L Nelms | Registered Nurse | 9519 Cimarroncito Ln, Humble, TX 77396 | 2020-09-23 |
| 1821636564 | Radiant Dermatology Fall Creek Pllc | Physician Assistant | 9240 N Sam Houston Pkwy E, Ste 201, Humble, TX 77396 | 2019-12-12 |
| 1952806002 | Adonna Weaver | Counselor | 9659 N. Sam Houston Parkway East, Suite 150 #324, Humble, TX 77396 | 2018-03-29 |
| 1710439484 | Simpke LLC | Chiropractor | 9303 Water Edge Point Lane, Humble, TX 77396 | 2016-10-28 |
| 1619338027 | Christopher Daniel Roundy | Chiropractor | 11347 N Sam Houston Pkwy E, Humble, TX 77396 | 2016-03-11 |
| 1992198923 | F. C. Behavioral Health, Pllc | Clinic/Center | 17810 Spring Tree Drive, Humble, TX 77396 | 2015-03-16 |
| 1417378688 | Menard's Tranportation | Private Vehicle | 15815 Murrelet Ct, Humble, TX 77396 | 2013-12-13 |
| 1124383195 | Tammie M. Thibodeaux | Dentist | 11501 North Sam Houston Parkway East, Suite C, Humble, TX 77396 | 2012-07-05 |
| 1528373271 | Summer Creek Physicians, Pllc | Family Medicine | 11501 North Sam Houston East Pkwy, Suite B, Humble, TX 77396 | 2010-08-18 |
| 1033347752 | Susmitha Jasti | Dentist | 4801 Wilson Road, Ste 200, Humble, TX 77396 | 2009-07-01 |
| Find all providers in zip 77396 | ||||
| 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 |
|---|---|---|---|---|
| 1073991055 | Tony Nguyen | Internal Medicine | 18839 Mckay Dr, Humble, TX 77338-5721 | 2015-05-11 |
| 1326487638 | Sarah Naeem | Internal Medicine | 218951 N Memorial Dr Ste 103w, Humble, TX 77338-4217 | 2013-06-19 |
| 1821347279 | Olubunmi Ogundadegbe | Internal Medicine | 18980 N Memorial Dr, Ste 240, Humble, TX 77338-4216 | 2012-08-30 |
| 1316188519 | Sowmya Puthalapattu | Internal Medicine | 19502 Mckay Blvd, Suite- 200, Humble, TX 77338-5707 | 2009-03-18 |
| 1184814493 | Fabiana Ziegler Farinetti | Internal Medicine | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346-3954 | 2007-08-01 |
| 1669539870 | Marilyn O Mora | Internal Medicine | 17614 Fossil Ridge Ln, Humble, TX 77346-1582 | 2007-01-03 |
| 1780757229 | Tamika Denson-willis | Internal Medicine | 18955 Memorial North Dr., #200, Humble, TX 77338 | 2006-11-15 |
| 1073544813 | Anil A. Dara M.d. P.a. | Internal Medicine | 18955 Memorial North Ste 200, Humble, TX 77338 | 2006-07-06 |
| 1346276987 | Juan Carlos Zubieta | Internal Medicine | 1485 Fm 1960 Bypass Rd E Ste 320, Humble, TX 77338-3965 | 2006-06-24 |
| 1659357374 | Rosemary Schempp | Internal Medicine | 8233 N Sam Houston Pkwy E, Humble, TX 77396-2922 | 2005-12-15 |
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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.