PEDIATRIC CRITICAL CARE OF CLEAR LAKE PLLC (NPI# 1497916993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497916993 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CRITICAL CARE OF CLEAR LAKE PLLC |
| Practice Address |
500 Medical Center Blvd Webster TX 77598-4220 |
| Mailing Address |
450 Medical Center Blvd Ste 600 Webster TX 77598-4234 |
| Practice Telephone | 2815544300 |
| Practice Fax Number | 2815544355 |
| Mailing Telephone | 7138521565 |
| Mailing Fax Number | 8666386744 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | TODD EVANS (PRESIDENT) |
| Authorized Official Telephone | 7138521500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
500 MEDICAL CENTER BLVD |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073919569 | Mary Rebecca French | Physician Assistant | 500 Medical Center Blvd, Webster, TX 77598 | 2014-11-10 |
| 1447699442 | Gardentown Emergency Physicians, Pllc | Physician Assistant | 500 Medical Center Blvd, Webster, TX 77598 | 2013-06-24 |
| 1235404419 | Christie Delaune | Nurse Anesthetist, Certified Registered | 500 Medical Center Blvd, Webster, TX 77598-4220 | 2012-03-20 |
| 1366760613 | Kelly Jo Garrett | Radiology Practitioner Assistant | 500 Medical Center Blvd, Radiology, Webster, TX 77598-4220 | 2010-05-11 |
| 1912192956 | Ileana Marien Arbona-ramirez | Pediatrics | 500 Medical Center Blvd, Clear Lake Regional Medical Center, Webster, TX 77598 | 2007-09-12 |
| 1831303593 | South Path Ltd | Pathology | 500 Medical Center Blvd, Webster, TX 77598-4220 | 2007-05-10 |
| 1467670943 | Pediatric Consultants, P.a | Hospitalist | 500 Medical Center Blvd, Webster, TX 77598-4220 | 2007-04-23 |
| 1912037417 | Bilal Sarvat | Internal Medicine | 500 Medical Center Blvd, Webster, TX 77598-4220 | 2007-03-06 |
| 1497884571 | Anesthesia Associates LLP | Specialist | 500 Medical Center Blvd, Webster, TX 77598-4220 | 2007-03-05 |
| 1306975487 | Anesthesia Associates LLP | Nurse Anesthetist, Certified Registered | 500 Medical Center Blvd, Webster, TX 77598-4220 | 2007-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093294654 | Elva Linda Pereida | Pediatrics | 107 Palisades, Portland, TX 78374-4144 | 2018-08-14 |
| 1083156905 | Pediatric Immediate Care of Texas, Pllc | Pediatrics | 3831 E League City Pkwy, Suite A, League City, TX 77573-7155 | 2016-11-09 |
| 1053730226 | Jaime Conrado Silva | Pediatrics | 1911 Holcombe Blvd Apt 1326, Houston, TX 77030-4189 | 2014-04-15 |
| 1144574591 | Amy Sharon Arrington | Pediatrics | 6621 Fannin, W6006, Houston, TX 77030 | 2012-11-07 |
| 1306118013 | Corey Chartan | Pediatrics | One Baylor Plaza, Mail Stop W6-006, Pediatric Critical Care, Houston, TX 77070 | 2012-01-27 |
| 1306172945 | Omar S Arrieta | Pediatrics | Scott & White 4 South Pedi Administration Rm 431, 2401 South 31st Street, Temple, TX 76508-0001 | 2009-11-01 |
| 1396971206 | Kevin Matthew Roy | Pediatrics | 6621 Fannin Street, Wt6-006, Texas Children's Hospital, Pediatrics Intensive Care, Houston, TX 77030 | 2009-06-05 |
| 1609036342 | Loay Y Abdulsamad | Pediatrics | 11322 Bucks Bridge Ln, Sugar Land, TX 77478-0915 | 2008-06-16 |
| 1396911715 | Aarti C Bavare | Pediatrics | 6621 Fannin, Wt6-006, Houston, TX 77030 | 2008-05-06 |
| 1982726741 | Terry Lee Furgiuele | Pediatrics | 4600 Ashville Pl, Amarillo, TX 79119-6452 | 2007-04-04 |
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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.