INTERNIST CHRONIC CARE MANAGEMENT LLC


Address: 110 N Concord Forest Cir, The Woodlands, TX 77381-6600
Phone: 2818363577

INTERNIST CHRONIC CARE MANAGEMENT LLC (NPI# 1285199448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285199448
Entity Type Organization
Organization Name INTERNIST CHRONIC CARE MANAGEMENT LLC
Practice Address 110 N Concord Forest Cir
The Woodlands
TX 77381-6600
Mailing Address 206 N 2100 W Ste 202
Salt Lake City
UT 84116-4741
Practice Telephone 2818363577
Practice Fax Number 8018838044
Mailing Telephone 8019248571
Mailing Fax Number 8018838044
Enumeration Date 2019-02-01
Last Update Date 2019-05-31
Authorized Official Name THIMOS PASCHALIS (PHYSICIAN)
Authorized Official Telephone 2818363577
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 110 N CONCORD FOREST CIR
City THE WOODLANDS
State TX
Zip Code 77381-6600

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1275045288 Marney Vitthal Speech-Language Pathologist 2 Cranberry Bend, Spring, TX 77381 2017-10-31
1205293453 Add Health and Wellness of The Woodlands, LLC Counselor 2700 Research Forest Dr #130, The Woodlands, TX 77381 2016-01-19
1669851879 Supplemental Healthcare Inc. Rehabilitation Unit 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 2015-05-20
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1215358726 Dustin Etemadi Chiropractor 4810 W. Panther Creek Dr., Suite 105, The Woodlands, TX 77381 2013-12-31
1194075697 The Woodlands Eating Disorders Center Psychologist 4840 W. Panther Creek Dr., Ste. 212, The Woodlands, TX 77381 2012-09-12
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Taxonomy Information

Taxonomy Code 207RH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992280002 Amity Palliative Care, Pa Internal Medicine 1600 Coit Rd Ste 209, Plano, TX 75075-6172 2018-09-25
1952893448 Greater Texas Palliative Care Services Pllc Internal Medicine 21806 Barton Woods, San Antonio, TX 78259 2018-05-31
1265834543 Shorr Hospice Holdings Internal Medicine 1115 N 4th St, Longview, TX 75601-4740 2014-09-18
1508267535 Aspire Health Medical Partners of Texas Pa Internal Medicine 2455 Dunstan Rd Tx 2304, Suite 360, Houston, TX 77005-2304 2014-09-09
1558772905 My Own Hospice LLC Internal Medicine 2943 Mossrock, San Antonio, TX 78230-5119 2014-05-19
1831500115 Melissa Ann Johnson, Pllc Internal Medicine 212 Polo Trl, Colleyville, TX 76034-7577 2014-05-08
1114341716 Alara Medical Internal Medicine 1222 Belleau Dr, Dallas, TX 75208-2709 2014-02-18
1245673755 Sarah Stayer Mills Internal Medicine 1515 Holcombe Boulevard, Unit 008, Dep. of Palliative Care and Rehabilitation Medicine, Houston, TX 77030-4000 2013-04-15
1124255773 Benjamin Keith Getter Internal Medicine 4242 E Piedras Dr Ste 200, San Antonio, TX 78228-1414 2009-06-22
1013030436 Lawrence Michael Martinek Internal Medicine 3020 Sun Dance Drive, Harker Heights, TX 76548 2007-04-09
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Competitor

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City THE WOODLANDS
Zip Code 77381

Improve Information

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Dataset Information

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.

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