JERRY N STREET MD PA (NPI# 1295972040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295972040 |
| Entity Type | Organization |
| Organization Name | JERRY N STREET MD PA |
| Practice Address |
1140 Business Center Dr Suite Number 202 Houston TX 77043-2737 |
| Practice Telephone | 7134615808 |
| Practice Fax Number | 7139730853 |
| Mailing Telephone | 7134615808 |
| Mailing Fax Number | 7139730853 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |
| Authorized Official Name | JERRY NEVILLE STREET (PRESIDENT) |
| Authorized Official Telephone | 7134615808 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | F5763 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1140 BUSINESS CENTER DR SUITE NUMBER 202 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77043-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123862 | Ali Azimpoor | Neurological Surgery | 1140 Business Center Dr, Suite 490, Houston, TX 77043-2737 | 2005-06-10 |
| 1558995514 | Edilma Ofir Sosa | Physical Therapist | 1140 Business Center Dr, Houston, TX 77043-2737 | 2020-02-28 |
| 1467967745 | Alliance Dx, LLC | Clinical Medical Laboratory | 1140 Business Center Dr, Houston, TX 77043-2737 | 2017-12-07 |
| 1306204425 | Jeffrey N. Bowman,dpm, PC | Podiatrist | 1140 Business Center Dr, Suite 510, Houston, TX 77043-2737 | 2016-02-03 |
| 1538552716 | Interventional Pain and Recovery Center, Pllc | Physical Medicine & Rehabilitation | 1140 Business Center Dr, Ste. 580, Houston, TX 77043-2737 | 2015-03-11 |
| 1265832380 | Applied Diagnostics Associates Pa | Specialist | 1140 Business Center Dr, Suite 370, Houston, TX 77043-2737 | 2014-08-26 |
| 1780924571 | Dream Pharmacy Inc | Pharmacy | 1140 Business Center Dr, Ste 103, Houston, TX 77043-2737 | 2013-02-15 |
| 1821337049 | Kimberlee Kruger Perras | Nurse Practitioner | 1140 Business Center Dr, Suite 550, Houston, TX 77043-2737 | 2013-02-07 |
| 1710236252 | Reid Arthur Fayrweather | Nurse Practitioner | 1140 Business Center Dr, Suite 201, Houston, TX 77043-2737 | 2012-08-30 |
| 1922386663 | Westview Medical Consultants LLP | Anesthesiology | 1140 Business Center Dr, Ste 580, Houston, TX 77043-2737 | 2011-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286102 | Keith Nunez | Physical Therapist | 10496 Katy Fwy 101, Houston, TX 77043 | 2019-10-14 |
| 1730730128 | Melinda Lee Mogas | Occupational Therapist | 1900 Kersten Dr., Houston, TX 77043 | 2019-09-26 |
| 1568827491 | Gina Bates | Behavioral Analyst | 1907 Nocturne Ln, Houston, TX 77043 | 2015-12-18 |
| 1770917841 | Stephanie Howard Ambrose | Physical Therapist | 10100 Katy Fwy Ste 170, Houston, TX 77043 | 2013-08-26 |
| 1114271475 | Glencris Construction Inc. | Durable Medical Equipment & Medical Supplies | 2121 Brittmoore Rd., Suite 8400, Houston, TX 77043 | 2012-11-07 |
| 1033468111 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 1332 Upland Drive, Houston, TX 77043 | 2012-09-05 |
| 1770861452 | Myofascial Pain Center | Rehabilitation Practitioner | 1140 Business Center Dr. Ste. 580, Houston, TX 77043 | 2011-07-28 |
| 1871886846 | Jenny T. Wang | Psychologist | 1888 Stebbins Drive, Suite 200, Houston, TX 77043 | 2011-05-24 |
| 1518277458 | Wrenwood Medical Equipment | Durable Medical Equipment & Medical Supplies | 1421 Wycliffe Dr, Houston, TX 77043 | 2010-10-13 |
| 1841518925 | Memorial Surgical Solutions | Clinic/Center | 10504 Katy Freeway, Houston, TX 77043 | 2010-05-13 |
| Find all providers in zip 77043 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662212 | Renaxis, Pllc | Orthopaedic Surgery | 4126 Southwest Fwy Ste 1220, Houston, TX 77027-7338 | 2019-04-23 |
| 1740742402 | Otx Care of Tx Iv, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1174050926 | Charlie Dee Wilson | Orthopaedic Surgery | 1885 El Paseo St Apt 33212, Houston, TX 77054-3069 | 2017-05-11 |
| 1518326859 | Texas Regional Spine Center, Pa | Orthopaedic Surgery | 9400 Westheimer Rd Ste 4, Houston, TX 77063-3468 | 2016-02-15 |
| 1427426345 | Patricia Faye Beaver | Orthopaedic Surgery | 3317 Amherst St, Houston, TX 77005-3333 | 2015-09-09 |
| 1518386572 | Kenneth B Ford Jr. | Orthopaedic Surgery | 1218 Fountain View Dr, Houston, TX 77057-2204 | 2014-04-07 |
| 1144587924 | Byron Parker York | Orthopaedic Surgery | 2155 Goldsmith St, Houston, TX 77030-1201 | 2012-04-18 |
| 1326323791 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 915 Gessner, Pro. 3, Suite 560, Houston, TX 77024 | 2011-10-18 |
| 1780978775 | James Terrance Carson | Orthopaedic Surgery | 11307 Fm 1960 Rd W Ste 320, Houston, TX 77065 | 2011-06-07 |
| 1831325026 | Eddie Huang | Orthopaedic Surgery | 11914 Astoria Blvd Ste 670, Medical Plaza 1, Houston, TX 77089-6081 | 2009-06-02 |
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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.