MR. MARK J PIDALA (NPI# 1417960550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417960550 |
| Entity Type | Individual |
| Full Name | MR. MARK J PIDALA |
| Credential | M.D. |
| Practice Address |
800 Peakwood Dr Suite 2c Houston TX 77090 |
| Mailing Address |
6550 Fannin St Suite 2307 Houston TX 77030-2717 |
| Practice Telephone | 7134864650 |
| Practice Fax Number | 2814400759 |
| Mailing Telephone | 7134864600 |
| Mailing Fax Number | 7137909251 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | K6239 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 037009002 | 05 |
| Street Address |
800 PEAKWOOD DR SUITE 2C |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436133 | Thomas P Mchugh | Specialist | 800 Peakwood Dr, Ste 8c, Houston, TX 77090-2904 | 2005-06-09 |
| 1578978839 | Texas Allergy Group Pllc | Allergy & Immunology | 800 Peakwood Dr, Suite 6h, Houston, TX 77090-2900 | 2014-06-25 |
| 1659618221 | Mansour Navid Ortho Pa | Orthopaedic Surgery | 800 Peakwood Dr, Suite 3a, Houston, TX 77090-2900 | 2013-01-15 |
| 1689921983 | Lx Homecare, LLC | Pharmacy | 800 Peakwood Dr, Ste 4-a, Houston, TX 77090 | 2012-08-07 |
| 1649557844 | Star Neurodiagnostics Inc | Clinic/Center | 800 Peakwood Dr, Suite 6d, Houston, TX 77090-2900 | 2011-11-16 |
| 1740572114 | Greater Northwest Houston Enterprises | Durable Medical Equipment & Medical Supplies | 800 Peakwood Dr, Ste 3a, Houston, TX 77090-2900 | 2011-05-04 |
| 1295034858 | Seeyuen Lee | Surgery | 800 Peakwood Dr, Office of Dr. Philip Leggett, Houston, TX 77090-2900 | 2011-03-22 |
| 1043512106 | Woodlands Rheumatology Clinic | Internal Medicine | 800 Peakwood Dr, 6g, Houston, TX 77090-2900 | 2010-11-23 |
| 1801101571 | Lorenzo Lorente M D P A | Specialist | 800 Peakwood Dr, Suite 4d, Houston, TX 77090-2900 | 2010-08-18 |
| 1831413020 | Luxor Medical Pa | Family Medicine | 800 Peakwood Dr, Suite 4a, Houston, TX 77090-2900 | 2010-03-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801235940 | Kessem Research and Consulting | Colon & Rectal Surgery | 2429 Bissonnet St Ste 468, Houston, TX 77005-1451 | 2013-06-21 |
| 1891911228 | Theodoros Voloyiannis | Colon & Rectal Surgery | 7400 Fannin St Ste 1295, Houston, TX 77054-1934 | 2007-04-17 |
| 1609910009 | Tal R Raphaeli | Colon & Rectal Surgery | 1125 Cypress Station Dr Ste G-3, Houston, TX 77090-3055 | 2007-02-18 |
| 1275501603 | Eric M Haas | Colon & Rectal Surgery | 6560 Fannin St Ste 1404, Houston, TX 77030-2706 | 2006-03-10 |
| 1033740683 | Tsuyoshi Konishi | Colon & Rectal Surgery | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-02-03 |
| 1144882747 | Prisma Proctology Surgical Medicine & Associates Pllc | Colon & Rectal Surgery | 7789 Southwest Fwy Ste 300, Houston, TX 77074-1832 | 2019-07-03 |
| 1831544055 | Cns Colorectal Services | Colon & Rectal Surgery | 7580 Fannin St, Ste 303, Houston, TX 77054-1900 | 2016-04-25 |
| 1205217593 | Surgical and Clinical Association of Texas Pllc | Colon & Rectal Surgery | 7900 Fannin St, Suite 1200, Houston, TX 77054-2934 | 2015-06-12 |
| 1144632266 | Timothy Dexter Law | Colon & Rectal Surgery | 6550 Fannin St Ste 2307, Houston, TX 77030-2723 | 2014-05-22 |
| 1487996773 | Matthew Davis Weaver | Colon & Rectal Surgery | 1200 Binz St Ste 580, Houston, TX 77004-6947 | 2013-03-25 |
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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.