MRS. MICHELLE LUCIA DESALVO (NPI# 1225283088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225283088 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE LUCIA DESALVO |
| Other Name | MICHELLE SIMANCAS |
| Credential | PA-C |
| Practice Address |
5602 Lyons Ave Houston TX 77020-4721 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 8325485000 |
| Mailing Telephone | 8325485000 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05697 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA030556 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5602 LYONS AVE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77020-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942396130 | Frances L Tseng | Pediatrics | 5602 Lyons Ave, Houston, TX 77020-4721 | 2006-10-05 |
| 1013415298 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5602 Lyons Ave, Houston, TX 77020 | 2018-01-23 |
| 1699209049 | Clarissa Danielle Reel | Dietitian, Registered | 5602 Lyons Ave, Houston, TX 77020-4721 | 2017-04-12 |
| 1437554953 | Rodari Newman | Nurse Practitioner | 5602 Lyons Ave, Houston, TX 77020 | 2014-10-27 |
| 1699034793 | Lin Dai | Family Medicine | 5602 Lyons Ave, Houston, TX 77020-4721 | 2012-05-09 |
| 1104198084 | Abril Torres | Counselor | 5602 Lyons Ave, Houston, TX 77020-4721 | 2012-02-07 |
| 1578853586 | Josepha Immanuel | Psychiatry & Neurology | 5602 Lyons Ave, Houston, TX 77020 | 2011-04-11 |
| 1730413006 | Erin Ahrens Whitney | Internal Medicine | 5602 Lyons Ave, Houston, TX 77020-4721 | 2009-09-19 |
| 1568691483 | Melissa Macklin Rector | Psychiatry & Neurology | 5602 Lyons Ave, Houston, TX 77020-4721 | 2009-07-13 |
| 1043485410 | Marsha Morris Crutchfield | Counselor | 5602 Lyons Ave, Houston, TX 77020 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154847515 | Legacy Community Health Services | Pharmacy | 3811 Lyons Avenue, Suite 114, Houston, TX 77020 | 2017-08-17 |
| 1154626000 | Tatum Martin | Case Manager/Care Coordinator | 4409 Rawley St., Houston, TX 77020 | 2011-01-24 |
| 1578891610 | Sunday E. Dike | Pharmacist | 1515 Lockwood Drive, Walgreens Store 2686, Houston, TX 77020 | 2009-12-01 |
| 1386877116 | Mitchel Jay Abramsky | General Practice | 5605 Lyons Ave, Lyons Avenue Health Center, Houston, TX 77020 | 2009-08-27 |
| 1649420589 | Doan Thuy Do | Family Medicine | 464 Hahlo, Houston, TX 77020 | 2008-09-29 |
| 1770655193 | Hiep Nguyen | Dentist | 723 A Shotwell Street, Houston, TX 77020 | 2006-11-14 |
| 1790798288 | Roberto Cesar Garcia | Dentist | 6909 Lyons Ave, Houston, TX 77020 | 2006-08-14 |
| 1194733030 | Samuel Nmi Gold | Optometrist | 711 Shotwell, Houston, TX 77020 | 2006-08-04 |
| 1093780280 | Houston Community Health Centers Inc | Clinic/Center | 424b Hahlo Street, Houston, TX 77020 | 2006-02-21 |
| 1497101356 | Christelle Marie Hernandez | Nurse Practitioner | 3811 Lyons Ave, Houston, TX 77020 | 2016-05-10 |
| Find all providers in zip 77020 | ||||
| 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 |
|---|---|---|---|---|
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| 1306453659 | Christine Michelle Serewis - Pond | Physician Assistant | 950 Threadneedle St # 282, Houston, TX 77079-2925 | 2020-09-29 |
| 1902412828 | Chen-ho Yang | Physician Assistant | 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 | 2020-09-16 |
| 1437769833 | Aviva Tziporah Rogozen | Physician Assistant | 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 | 2020-07-31 |
| 1417575671 | Harmeet Kaur | Physician Assistant | 9601 Jones Rd Ste 238, Houston, TX 77065-4774 | 2020-07-13 |
| 1780201939 | Evelyn Oliva | Physician Assistant | 4943 Brenner St, Houston, TX 77022-2536 | 2020-07-02 |
| 1093330722 | Stephanie Kochuparambil | Physician Assistant | 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 | 2020-06-09 |
| 1376171587 | Samad Syed Ali | Physician Assistant | 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 | 2020-04-01 |
| 1235765660 | Samantha Salcedo | Physician Assistant | 6651 Main St Ste 1420, Houston, TX 77030-2351 | 2020-03-17 |
| Find all providers in HOUSTON | ||||
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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.