DR. PENNER T SCHRAUDENBACH (NPI# 1477738409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477738409 |
| Entity Type | Individual |
| Full Name | DR. PENNER T SCHRAUDENBACH |
| Credential | MD |
| Practice Address |
506 Graham Dr Ste 150 Tomball TX 77375-3346 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 2813515174 |
| Practice Fax Number | 2813515172 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2014-12-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | N1132 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 338511402 | 05 | |
| TX | NPI | 1700816428 | 01 |
| TX | 338511401 | 05 | |
| TX | RAILROAD MEDICARE | P01366412 | 01 |
| TX | MEDICARE HARRIS | TXB120824 | 01 |
| TX | MEDICARE MONTGOMERY | TXB120811 | 01 |
| Street Address |
506 GRAHAM DR STE 150 |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922102250 | Todd P. Kielman | Physician Assistant | 506 Graham Dr Ste 150, Tomball, TX 77375-3346 | 2006-09-08 |
| 1700102704 | Miguel Angel Mercado | Urology | 506 Graham Dr Ste 150, Tomball, TX 77375-3346 | 2010-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740223056 | Jerry D Rouse | Urology | 13414 Medical Complex Dr, Ste. 13, Tomball, TX 77375-6470 | 2006-06-14 |
| 1942288394 | Clyde Leland Corey | Urology | 919 Graham Dr, Tomball, TX 77375-6408 | 2006-01-05 |
| 1063707552 | Texas Regional Urology, Pllc | Urology | 919 Graham Dr, Tomball, TX 77375-6408 | 2011-06-13 |
| 1700102704 | Miguel Angel Mercado | Urology | 506 Graham Dr Ste 150, Tomball, TX 77375-3346 | 2010-04-15 |
| 1629176896 | Steven W Sukin Md Pa | Urology | 455 School St, Ste 14, Tomball, TX 77375-4593 | 2006-09-20 |
| 1962506055 | Drew Aric Dylewski | Urology | 919 Graham Dr, Tomball, TX 77375-6408 | 2006-09-11 |
| 1588608897 | Jerry D. Rouse, Md, Pa | Urology | 13414 Medical Complex Dr, Ste. 13, Tomball, TX 77375-6470 | 2006-06-16 |
| 1497715171 | Liliana Woo | Urology | 919 Graham Dr, Tomball, TX 77375-6408 | 2006-03-25 |
| 1447210208 | Matthew M Hogan | Urology | 919 Graham Dr, Tomball, TX 77375-6408 | 2006-03-24 |
| 1154309516 | Steven Wayne Sukin | Urology | 506 Graham Dr, Ste 150, Tomball, TX 77375-3366 | 2006-01-05 |
| Find all providers in TOMBALL | ||||
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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.