WIYATTA BENDU FREEMAN (NPI# 1295921948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295921948 |
| Entity Type | Individual |
| Full Name | WIYATTA BENDU FREEMAN |
| Credential | M.D. |
| Practice Address |
10905 Memorial Hermann Dr Ste 207 Pearland TX 77584-3490 |
| Practice Telephone | 8326151109 |
| Practice Fax Number | 8326151110 |
| Mailing Telephone | 8326151109 |
| Mailing Fax Number | 8326151110 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | M8656 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD | 8CB829 | 01 |
| TX | DALLAS COUNTY PTAN | 8F22199 | 01 |
| TX | TARRANT COUNTY PTAN | 8L27311 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3501 N Macarthur Blvd, Suite 500, Irving, TX 750623651 | 9722563700 | 8666306348 |
| Street Address |
10905 MEMORIAL HERMANN DR STE 207 |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303673 | Serenity Women's Health Pllc | Obstetrics & Gynecology | 10907 Memorial Hermann Dr Ste 355, Pearland, TX 77584-4114 | 2020-07-17 |
| 1366931842 | Pearland Elite Women's Health, Pllc | Obstetrics & Gynecology | 10907 Memorial Hermann Dr Ste 490, Pearland, TX 77584 | 2018-05-09 |
| 1144562364 | Tamika Katherine Cross | Obstetrics & Gynecology | 16100 South Fwy Ste 211, Pearland, TX 77584-1895 | 2013-03-26 |
| 1659626166 | Lauren Gibson | Obstetrics & Gynecology | 2950 Cullen Blvd Ste 201, Pearland, TX 77584-3922 | 2012-07-20 |
| 1225328636 | Erin Dougher | Obstetrics & Gynecology | 10909 Memorial Hermann Dr. Suite 211, Pearland, TX 77584-2272 | 2011-04-19 |
| 1366763880 | Heather Sue Hoff | Obstetrics & Gynecology | 10907 Memorial Hermann Dr Ste 330, Pearland, TX 77584-4194 | 2010-06-18 |
| 1346349842 | Jacquin Ann Coombs | Obstetrics & Gynecology | 10907 Memorial Hermann Dr, Ste 490, Pearland, TX 77584-4114 | 2006-09-21 |
| 1841250115 | Diana S Duff | Obstetrics & Gynecology | 10970 Shadow Creek Pkwy Ste 100, Pearland, TX 77584-0166 | 2006-03-23 |
| 1265880223 | Kandace Joye | Obstetrics & Gynecology | 2950 Cullen Blvd Ste 201, Pearland, TX 77584-3922 | 2016-06-01 |
| 1891155263 | Pearland Institute for Women's Health, Pllc | Obstetrics & Gynecology | 10970 Shadow Creek Pkwy, Ste 350, Pearland, TX 77584-0100 | 2016-02-29 |
| Find all providers in PEARLAND | ||||
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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.