DR. DAVID W VICTOR III (NPI# 1508048919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508048919 |
| Entity Type | Individual |
| Full Name | DR. DAVID W VICTOR III |
| Credential | M.D. |
| Practice Address |
6445 Main Street Opc 22 Houston TX 77030 |
| Practice Telephone | 1374414345 |
| Mailing Telephone | 1374414345 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 201516 | LA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
P7593 | TX | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
D0071978 | MD | Allopathic & Osteopathic Physicians |
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
P7593 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
P7593 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LOUSIANA MEDICAL LISCENSE | 201516 | 01 |
| TX | 330482601 | 05 | |
| TX | 330482603 | 05 | |
| MD | MEDICARE | 223810ZAEM | 01 |
| TX | 330482602 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8DY375 | 01 |
| MD | MD MEDICAL LICENSE | D0071978 | 01 |
| TX | RR MEDICARE | P01707725 | 01 |
| MD | 442244900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6550 Fannin St, Suite 1101, Houston, TX 770302717 | 7134410006 | 7137902727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386662104 | David W Victor Jr. | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-07-18 |
| Street Address |
6445 MAIN STREET OPC 22 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316924806 | Eric H Bernicker | Internal Medicine | 6445 Main Street, Opc 24, Houston, TX 77030 | 2005-12-27 |
| 1306398086 | Wengrid Ann Swearingen | Nurse Practitioner | 6445 Main Street, Opc 24, Houston, TX 77030 | 2016-10-28 |
| 1558726695 | Loni Savage | Nurse Practitioner | 6445 Main Street, Opc 24, Houston, TX 77030 | 2015-12-16 |
| 1265790687 | Akshay Shetty | Internal Medicine | 6445 Main Street, Opc 22, Houston, TX 77030 | 2012-04-24 |
| 1750651055 | Michael Pudlo | Registered Nurse | 6445 Main Street, Opc 26, Houston, TX 77030 | 2012-01-04 |
| 1871763417 | Shilpan Satish Shah | Internal Medicine | 6445 Main Street, Opc 24, Houston, TX 77030 | 2008-03-11 |
| 1134305675 | Jasleen Kaur Randhawa | Internal Medicine | 6445 Main Street, Opc24, Houston, TX 77030 | 2008-01-15 |
| 1154512333 | Sudha Kodali | Internal Medicine | 6445 Main Street, Opc 22, Houston, TX 77030 | 2007-08-05 |
| 1184822280 | Jun Zhang | Internal Medicine | 6445 Main Street, Opc 24, Houston, TX 77030 | 2007-07-10 |
| 1184711798 | Cesar A De Las Casas | Internal Medicine | 6445 Main Street, Opc 24, Houston, TX 77030 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207RT0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Transplant Hepatology |
| An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831452606 | Preethi Martha Reddy | Internal Medicine | 6400 Fannin St, Suite 1400, Houston, TX 77030-1521 | 2012-06-18 |
| 1275890410 | Themistoklis Kourkoumpetis | Internal Medicine | 1 Baylor Plz, Houston, TX 77030-3411 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982159745 | Transplant Hepatology & Gi Pllc | Internal Medicine | 1707 Nelson Dr, Irving, TX 75038-5963 | 2016-08-22 |
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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.