NORTHWEST OUTPATIENT CANCER CENTER (NPI# 1598768632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598768632 |
| Entity Type | Organization |
| Organization Name | NORTHWEST OUTPATIENT CANCER CENTER |
| Other Organization Name | NORTHWEST CANCER CENTER |
| Practice Address |
17323 Red Oak Dr Houston TX 77090-1243 |
| Mailing Address |
P.o. Box 4356, Dept 664 Houston TX 77210-4356 |
| Practice Telephone | 2814405006 |
| Practice Fax Number | 2814406149 |
| Mailing Telephone | 2814405006 |
| Mailing Fax Number | 2814406149 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-05-20 |
| Authorized Official Name | DR. MIRTHA T CASIMIR I (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2814405006 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
F5854 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northwest Cancer Center | Doing Business As Name - Organization |
| Street Address |
17323 RED OAK DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930367 | Laurent Gressot | Specialist | 17323 Red Oak Dr, Houston, TX 77090-1243 | 2005-05-23 |
| 1932140159 | Eric Kleinbaum | Specialist | 17323 Red Oak Dr, Houston, TX 77090-1243 | 2006-06-09 |
| 1386609188 | Krishna K. Pachipala | Internal Medicine | 17323 Red Oak Dr, Houston, TX 77090-1243 | 2006-04-18 |
| 1861466815 | Leslie E Wilson | Internal Medicine | 17323 Red Oak Dr, Houston, TX 77090 | 2006-02-15 |
| 1528061306 | Mirtha T Casimir | Specialist | 17323 Red Oak Dr, Houston, TX 77090-1243 | 2005-05-24 |
| 1215930268 | Charles L Yen | Specialist | 17323 Red Oak Dr, Houston, TX 77090-1243 | 2005-05-23 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326969 | Origin Spine Institute LLC | Clinic/Center | 9135 Katy Fwy Ste 300, Houston, TX 77024-1619 | 2020-08-13 |
| 1902369101 | Banerji Plastic Surgery | Clinic/Center | 11914 Astoria Blvd Ste 580, Houston, TX 77089-5975 | 2019-04-13 |
| 1831653526 | Naveli Medical Services, Pllc | Clinic/Center | 9090 Gaylord Dr Ste 200, Houston, TX 77024-2948 | 2019-01-26 |
| 1609378801 | Express Anesthesia & Pain Management Consultants,pllc | Clinic/Center | 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 | 2018-03-02 |
| 1013468396 | Holistic Dermatology of Houston, Pa | Clinic/Center | 2030 N Loop Fwy W, Suite 120, Houston, TX 77018-8101 | 2016-10-20 |
| 1609233642 | Complete Care Dermatology, Pllc | Clinic/Center | 1831 Latexo Dr, Houston, TX 77018-1743 | 2016-01-21 |
| 1770904096 | Terence M Chang Md Pllc | Clinic/Center | 5233 Lillian St, 1st Floor, Houston, TX 77007-5226 | 2014-01-06 |
| 1699100230 | Syntherapy Clinic Plcc | Clinic/Center | 8300 Bissonnet St Ste 490, Houston, TX 77074-3997 | 2013-09-12 |
| 1831430370 | Full Moon Physician, Lllp | Clinic/Center | 2430 Fry Rd, Ste 100, Houston, TX 77084-5831 | 2013-03-08 |
| 1790044717 | Sunrise Medical Consulting, LLC | Clinic/Center | 13111 East Fwy Ste 317, Houston, TX 77015-5819 | 2012-05-10 |
| 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.