DR. MARY VAN SICKLE (NPI# 1376545616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376545616 |
| Entity Type | Individual |
| Full Name | DR. MARY VAN SICKLE |
| Credential | M.D. |
| Practice Address |
7777 Southwest Fwy Ste 616 Houston TX 77074-1802 |
| Mailing Address |
Po Box 6880 Santa Fe NM 87502-6880 |
| Practice Telephone | 7137733983 |
| Practice Fax Number | 7132714076 |
| Mailing Telephone | 5053952288 |
| Mailing Fax Number | 5059838135 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | H5211 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS ID | 0063PA | 01 |
| Street Address |
7777 SOUTHWEST FWY STE 616 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77074-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316484736 | Taro Wichman | Physical Therapist | 7777 Southwest Fwy, Suite #640, Houston, TX 77074-1802 | 2017-01-23 |
| 1205373628 | Body By Physical Therapy Pllc | Clinic/Center | 7777 Southwest Fwy, Suite #640, Houston, TX 77074-1802 | 2017-01-23 |
| 1396197547 | Dynamic Gastroenterology, Pllc | Clinic/Center | 7777 Southwest Fwy, Suite 544, Houston, TX 77074-1802 | 2016-07-11 |
| 1902266117 | Inspira Health | Clinic/Center | 7777 Southwest Fwy, Suite 558, Houston, TX 77074-1802 | 2016-03-01 |
| 1144695834 | Solera Health | Clinic/Center | 7777 Southwest Fwy, Suite 558, Houston, TX 77074-1802 | 2015-12-07 |
| 1720464837 | Houston Advanced & Minimally Invasive Lower Extremity Care Pllc | Podiatrist | 7777 Southwest Fwy, Houston, TX 77074-1802 | 2015-07-31 |
| 1396129136 | Pinnacle Pathology | Clinical Medical Laboratory | 7777 Southwest Fwy, Suite 554, Houston, TX 77074-1802 | 2015-07-10 |
| 1154711232 | Revive Health | Clinic/Center | 7777 Southwest Fwy, Medical Plaza I, Suite 554, Houston, TX 77074-1802 | 2015-01-28 |
| 1336547678 | Victoria Wanda Herrera | Nurse Practitioner | 7777 Southwest Fwy, Ste 840, Houston, TX 77074-1802 | 2014-12-19 |
| 1457763765 | Summit Pathology, LLC | Clinical Medical Laboratory | 7777 Southwest Fwy, Suite 554, Houston, TX 77074-1802 | 2014-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257527 | The Talk Center | Counselor | 502 Fondren Rd, Houston, TX 77074 | 2020-05-21 |
| 1598301715 | Concierge Counseling and Wellness, LLC | Counselor | 7332 Sw Freeway, #2010, Houston, TX 77074 | 2019-11-22 |
| 1588146922 | Adebisi Lawrence | Registered Nurse | 8300 Bissonnet Suite 375, Houston, TX 77074 | 2018-09-01 |
| 1093291718 | Jessica Mosley Demby | Counselor | The Harris Center for Mental Health and Idd, 9401 Southwest Freeway, Houston, TX 77074 | 2018-07-16 |
| 1114430329 | Ogbuka Joseph Onwuchekwa | Driver | 9100 Southwest Freeway #219, Houston, TX 77074 | 2017-11-09 |
| 1164934501 | Tiffany Danielle Miller | Home Health Aide | 7810 Nairn, Houston, TX 77074 | 2017-10-25 |
| 1295252625 | Domain Living Centers LLC | Case Manager/Care Coordinator | 9800 Braburn Glen Blvd # 326, Houston, TX 77074 | 2017-08-25 |
| 1760908297 | First Choice Home Dialysis LLC | Clinic/Center | 7737 Beechnut Street, Suite 204, Houston, TX 77074 | 2017-08-16 |
| 1144741869 | Emerald Total Care | In Home Supportive Care | 10101 Southwest Freeway Suit 400, Houston, TX 77074 | 2017-07-03 |
| 1851820294 | Sinai Hospice Care LLC | Hospice Care, Community Based | 8323 Sw Freeway, Suite #630, Houston, TX 77074 | 2017-06-08 |
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| 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 |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1962052605 | Sharee Anne Valencia | Obstetrics & Gynecology | 11947 North Fwy, Houston, TX 77060-1700 | 2019-09-15 |
| 1881251239 | Andrea Marie Costello | Obstetrics & Gynecology | Gme, Attn: Dottie Mersinger, 6670 Bertner Ave., R2-216, Houston, TX 77030 | 2019-05-21 |
| 1144784406 | Martha Laird | Obstetrics & Gynecology | 5618 Bankside Dr, Houston, TX 77096-6119 | 2019-01-30 |
| 1588134407 | The Women's Health Solution | Obstetrics & Gynecology | 5751 Blythewood St Ste 200, Houston, TX 77021-5404 | 2018-12-04 |
| 1720569411 | Champions Women's Center, P.a. | Obstetrics & Gynecology | 17070 Red Oak Dr Ste 400, Houston, TX 77090-2616 | 2018-08-22 |
| 1942711668 | Total Women's Care Pllc | Obstetrics & Gynecology | 2050 North Loop W Ste 130, Houston, TX 77018-8111 | 2017-10-20 |
| 1821451667 | L. Natalie Carroll, M.d. P A | Obstetrics & Gynecology | 2656 S Loop W Ste 575, Houston, TX 77054-5622 | 2016-03-30 |
| 1841652120 | Iris Alejandra Trochez Valladares | Obstetrics & Gynecology | 13215 Dotson Rd Ste 200, Houston, TX 77070-4535 | 2016-03-24 |
| 1255702544 | Leen Al-hafez | Obstetrics & Gynecology | 3105 Norfolk St, Apartment 18305, Houston, TX 77098-2916 | 2015-10-12 |
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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.