UTMB (NPI# 1386923670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386923670 |
| Entity Type | Organization |
| Organization Name | UTMB |
| Practice Address |
301 University Blvd Jsa 9.128. Dept of Neurology Galveston TX 77555-0539 |
| Practice Telephone | 4097722646 |
| Practice Fax Number | 4097726940 |
| Mailing Telephone | 4097722646 |
| Mailing Fax Number | 4097726940 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2013-01-28 |
| Authorized Official Name | DR. DAVID L CALLENDER (PRESIDENT) |
| Authorized Official Telephone | 4097721902 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | TX | Hospitals | |
| Y | 281P00000X | Chronic Disease Hospital | BP10040916 | TX | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831318781 | Utmb | Special Hospital | 515 1st St, #330, Galveston, TX 77550-5769 | 2007-04-25 |
| 1295281350 | Utmb | Clinic/Center | 301 University Blvd, Galveston, TX 77555-5302 | 2016-08-29 |
| 1497105084 | Utmb | Nurse Practitioner | 3060 Fm 3514, Medical Department - Ms. Adodo, Beaumont, TX 77705-7635 | 2016-06-15 |
| 1811394208 | Utmb | Point of Service | 2350 Atascocita Rd, Humble, TX 77396-3503 | 2014-12-01 |
| 1568869063 | Utmb | General Acute Care Hospital | 301 University Blvd, Galveston, TX 77555-0587 | 2014-11-26 |
| 1487059077 | Utmb | Health Maintenance Organization | 1500 E Langdon Rd, Dallas, TX 75241-7136 | 2014-10-27 |
| 1063821981 | Utmb | Clinic/Center | 12603 Southwest Fwy Ste 335, Stafford, TX 77477-3842 | 2014-08-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UTMB | 301 University Blvd, Galveston, TX 77555-5302 |
| Street Address |
301 UNIVERSITY BLVD JSA 9.128. DEPT OF NEUROLOGY |
| City | GALVESTON |
| State | TX |
| Zip Code | 77555-0539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742714 | Bagi Rp Jana | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0565 | 2005-06-30 |
| 1023617685 | Kimberly Joy Staton | Nurse Practitioner | 301 University Blvd, Galveston, TX 77555-5303 | 2020-10-23 |
| 1295333185 | Adelina Mun See Leong | Physician Assistant | 301 University Blvd, Galveston, TX 77555-3205 | 2020-10-13 |
| 1245838341 | Zachary Allen Helmick | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-10-12 |
| 1477150795 | Mason Juehon Yu | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-10-09 |
| 1336746866 | Hillary Mai | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-10-07 |
| 1699380139 | Sanjai Naicheril Sabu | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-09-11 |
| 1497369409 | Olusola Sogbein | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0562 | 2020-09-08 |
| 1801409636 | Anand Kumar | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0100 | 2020-08-31 |
| 1235748633 | Youlanda Martin-jones | Family Medicine | 301 University Blvd, Galveston, TX 77555-5302 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1700362670 | Nidal Alhosainat | Internal Medicine | 301 University Blvd, 4.200 John Sealy Annex, Galveston, TX 77555 | 2018-07-13 |
| 1275915282 | Murtaza Mazhar | Internal Medicine | 301 University Blvd Cardiovascular Disease, Galveston, TX 77555 | 2015-06-25 |
| 1124469531 | Nisarg Shaileshbhai Shah | Internal Medicine | 400 Harborside Dr Suite #100, Endocrinology, Galveston, TX 77555 | 2013-07-13 |
| 1912260860 | Mohammed Fathi Zaidan | Internal Medicine | University of Texas Medical, 301 University Boulevard, Galveston, TX 77555 | 2012-06-15 |
| 1639465925 | Justin Blinn | Anesthesiology | 301 University Blvd # 2-a, Galveston, TX 77555 | 2011-06-24 |
| 1255532982 | Miguel Mauricio Cabada Samame | Internal Medicine | 301 University Boulevard Rt 0435, Galveston, TX 77555 | 2007-05-30 |
| 1154945608 | Elliot Blankespoor | Anesthesiology | 301 University Boulevard, 5.504 Jennie Sealy Hospital, Galveston, TX 77555 | 2020-06-01 |
| 1932699972 | Sara Medsker | Pediatrics | 301 University Blvd., Galveston, TX 77555 | 2018-05-15 |
| 1134297666 | Donna B Weaver | Family Medicine | 400 Harborside Dr, Galveston, TX 77555 | 2006-12-01 |
| Find all providers in zip 77555 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740713411 | Bing Han | Chronic Disease Hospital | 4019 Old Settlement Ct, Missouri City, TX 77459-6823 | 2017-04-09 |
| 1265894190 | Xin Cai | Chronic Disease Hospital | 2326 Stutz Dr Unit 119, Dallas, TX 75235-6540 | 2016-03-21 |
| 1811384183 | Ufuoma Oteri | Chronic Disease Hospital | 14923 Sawtooth Oak Dr, Houston, TX 77082-2983 | 2015-04-23 |
| 1063817245 | Health Tec Software, Inc. | Chronic Disease Hospital | 11550 W Interstate 10 Ste 235, San Antonio, TX 78230-1066 | 2014-10-30 |
| 1326478793 | Metroplex | Chronic Disease Hospital | 7711 Oconnor Dr Apt 1511, Round Rock, TX 78681-5560 | 2013-11-20 |
| 1760826713 | Proassit | Chronic Disease Hospital | 2150 S Central Expy # 75070, Mckinney, TX 75070-4070 | 2013-04-22 |
| 1477800522 | Medical Billing Consultants | Chronic Disease Hospital | 6404 Brookfield Dr, Quinlan, TX 75474-4204 | 2012-08-08 |
| 1760753388 | Ghannam Ayed Al-dossari | Chronic Disease Hospital | 2221 Aristocrat Dr, Irving, TX 75063-3479 | 2012-01-13 |
| 1316393515 | Baylor Medical College | Chronic Disease Hospital | 1 Baylor Plz, Houston, TX 77030-3411 | 2016-05-06 |
| 1225403876 | Sylvana Sherif Mcintyre | Chronic Disease Hospital | 6410 Fannin St, Suite 703, Houston, TX 77030-3000 | 2015-12-08 |
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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.