MR. ALFREDO JIMENEZ (NPI# 1396740650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396740650 |
| Entity Type | Individual |
| Full Name | MR. ALFREDO JIMENEZ |
| Credential | MD |
| Practice Address |
18100 St. John Drive Suite 240 Houston TX 77058-0451 |
| Practice Telephone | 2813357755 |
| Practice Fax Number | 2813357766 |
| Mailing Telephone | 2813357755 |
| Mailing Fax Number | 2813357766 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2017-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | J4653 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AMERIGROUP | 10023864 | 01 |
| TX | BLUE CROSS/BLUE SHIELD | 0029KV | 01 |
| TX | 045240104 | 05 | |
| TX | 045240103 | 05 | |
| TX | MEDICAID | 163317401 | 01 |
| TX | BLUE CROSS/BLUE SHIELD | 8K6340 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073805610 | Alfredo Jimenez | Clinic/Center | 10770 Sw 61st St, Miami, FL 33173-1206 | 2011-05-13 |
| 1932147246 | Alfredo H Jimenez | Internal Medicine | 3600 Gaston Ave, Suite 851, Dallas, TX 75246-1800 | 2006-06-02 |
| Street Address |
18100 ST. JOHN DRIVE SUITE 240 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-0451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
| Find all providers in zip 77058 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1730568502 | Marcus Hershey | Otolaryngology | 4101 Greenbriar Dr Ste 320, Houston, TX 77098-5296 | 2015-05-26 |
| 1124431994 | Viran Jay Ranasinghe | Otolaryngology | 20207 Chasewood Park Dr Ste 100, Houston, TX 77070-1441 | 2014-06-09 |
| 1043635816 | Eduardo Manuel Diaz | Otolaryngology | 9870 Gaylord Dr Apt 1112, Houston, TX 77024-2672 | 2014-03-03 |
| 1073956074 | Jennifer Dang | Otolaryngology | 6550 Fannin St Ste 1727, Houston, TX 77030-2717 | 2013-04-10 |
| 1295094548 | Daniel Peter Fox | Otolaryngology | 18400 Katy Fwy Ste 470, Houston, TX 77094-1287 | 2012-05-07 |
| 1922373653 | Robert Nicholas Berezoski | Otolaryngology | 7123 Heron Dr, Houston, TX 77087-6723 | 2012-03-13 |
| 1659690493 | Bruce Edison | Otolaryngology | 12010 Cobblestone Dr, Houston, TX 77024-5054 | 2010-05-19 |
| 1033344387 | Kunal Sudhir Jain | Otolaryngology | 6400 Fannin St Ste 2700, Houston, TX 77030-1539 | 2009-05-15 |
| Find all providers in HOUSTON | ||||
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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.