VASUDEVA M KAMATH (NPI# 1326063058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326063058 |
| Entity Type | Individual |
| Full Name | VASUDEVA M KAMATH |
| Credential | MD |
| Practice Address |
504 Medical Center Blvd Nicu Crmc Conroe TX 77304-2808 |
| Mailing Address |
Po Box 3104 Conroe TX 77305-3104 |
| Practice Telephone | 9365397757 |
| Practice Fax Number | 9367888046 |
| Mailing Telephone | 9365397757 |
| Mailing Fax Number | 9367888046 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 207490 | NY | Other Service Providers |
| N | 174400000X | Specialist | M0122 | TX | Other Service Providers |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
207490-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 181801501 | 05 | |
| TX | BLUECROSS | 8W1652 | 01 |
| Street Address |
504 MEDICAL CENTER BLVD NICU CRMC |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395214 | Dawna Lavina Armstrong | Pathology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2005-06-13 |
| 1699384792 | Susan Kae Wooden | Nurse Practitioner | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2020-07-24 |
| 1811522204 | Ashley Hudson | Anesthesiologist Assistant | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2020-03-06 |
| 1609421593 | Ambient Anesthesia | Anesthesiology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-08-07 |
| 1154975233 | Kristina Brown | Dietitian, Registered | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-07-28 |
| 1437617768 | Julie M Quinn | Physical Medicine & Rehabilitation | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-03-05 |
| 1245798602 | Samuel Loera Diaz | Specialist/Technologist, Other | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-03-05 |
| 1144787136 | Leyla Aileen M Lastra | Specialist/Technologist, Other | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-02-26 |
| 1619491834 | Edmund Byron Webster Iv | Physician Assistant | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2017-07-30 |
| 1871034488 | Montgomery Orthopedic Care Specialists Pllc | Surgery | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2017-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699233510 | Allison Claire Arbilo | Pediatrics | 6431 Fannin St # 3.254, Houston, TX 77030-1501 | 2019-03-10 |
| 1619469343 | Deulofeut Physician Services Pllc | Pediatrics | 1924 Pine St Ste 401b, Abilene, TX 79601-2452 | 2018-05-30 |
| 1801303979 | Gulf Coast Neonatology, Pllc | Pediatrics | 5920 Saratoga Blvd Ste 450, Corpus Christi, TX 78414-4124 | 2018-01-10 |
| 1023522331 | Richard Michael Rodriguez | Pediatrics | 2205 Concord Pl, Brownsville, TX 78520-3984 | 2017-11-22 |
| 1306266200 | Carlos A Laos, Md, Pa | Pediatrics | 25 Cochran Oaks Ln, Dallas, TX 75220-7811 | 2014-04-18 |
| 1225451032 | Sherlene Annette Dreyer | Pediatrics | 5000 Montrose Blvd Unit 19b, Houston, TX 77006-6564 | 2014-01-29 |
| 1154752418 | Dolores Carruth | Pediatrics | 2510 Skyline Dr, Irving, TX 75038-5819 | 2013-12-11 |
| 1891033981 | Lisa Jensen Mitchell | Pediatrics | Carl R. Darnall Medical Center, 2608 Marlin Dr, Killeen, TX 76543-2773 | 2013-01-23 |
| 1780940940 | Harashada Luhar | Pediatrics | 4707 Circle Oak Cv, Austin, TX 78749-2302 | 2012-04-02 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
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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.