PROVISION IMAGING OF FIRST STREET (NPI# 1619991783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619991783 |
| Entity Type | Organization |
| Organization Name | PROVISION IMAGING OF FIRST STREET |
| Practice Address |
4747 Bellaire Blvd Suite 101 Bellaire TX 77401-4527 |
| Mailing Address |
1601 Nw Expressway Suite 1300 Oklahoma City OK 73118 |
| Practice Telephone | 7136637672 |
| Practice Fax Number | 7136637677 |
| Mailing Telephone | 4058427768 |
| Mailing Fax Number | 4058427789 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT MATT TRENT (COO) |
| Authorized Official Telephone | 4058427768 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
R28949 | TX | Ambulatory Health Care Facilities |
| Street Address |
4747 BELLAIRE BLVD SUITE 101 |
| City | BELLAIRE |
| State | TX |
| Zip Code | 77401-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211972 | Harvey Allen Rosenstock | Psychologist | 4747 Bellaire Blvd, 550, Bellaire, TX 77401-4527 | 2005-08-02 |
| 1417308875 | Vision Park Interventional Pain Management, Pllc | Pain Medicine | 4747 Bellaire Blvd, Ste 500, Bellaire, TX 77401-4527 | 2016-06-28 |
| 1063863421 | Brazos Interventional Pain Consultants, Pllc | Pain Medicine | 4747 Bellaire Blvd, Ste 550, Bellaire, TX 77401-4527 | 2016-06-28 |
| 1699147611 | Sun Primary Care Clinic, Pllc | Clinic/Center | 4747 Bellaire Blvd, Suite 101, Bellaire, TX 77401-4527 | 2015-10-29 |
| 1689044281 | Texas Endovascular Associates, Pllc | Radiology | 4747 Bellaire Blvd, Suite 575, Bellaire, TX 77401-4527 | 2015-09-25 |
| 1023497757 | Marcel Albert Graf | Anesthesiologist Assistant | 4747 Bellaire Blvd, Ste# 580, Bellaire, TX 77401-4527 | 2015-05-27 |
| 1861884090 | William C Fox, Md Pllc | Radiology | 4747 Bellaire Blvd, Suite 260, Bellaire, TX 77401-4527 | 2015-02-25 |
| 1497167076 | Aaron Amador | Anesthesiologist Assistant | 4747 Bellaire Blvd, Bellaire, TX 77401-4527 | 2014-05-29 |
| 1871924621 | Professional Anesthesiologists of Texas, P.a. | Anesthesiology | 4747 Bellaire Blvd, Ste# 580, Bellaire, TX 77401-4527 | 2013-12-04 |
| 1720417488 | Maureli Inc | Dentist | 4747 Bellaire Blvd, Suite 395, Bellaire, TX 77401-4527 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780242123 | Hands of Houston Pllc | Surgery | 6704 Ferris, Bellaire, Texas, TX 77401 | 2019-05-31 |
| 1316423767 | Nancy Abraham | Pharmacist | 5160 Bissonnet St, Bellaire, TX 77401 | 2018-07-18 |
| 1356856033 | H-e-b, Lp | Clinical Medical Laboratory | 5106 Bissonnet St, Bellaire, TX 77401 | 2017-12-04 |
| 1457884371 | Damian Duplechain | Counselor | 5959 West Loop 610 South, Suite 600, Bellaire, TX 77401 | 2017-04-07 |
| 1659804672 | Stephanie Nelson | Behavioral Analyst | 6607 S Rice Ave, Bellaire, TX 77401 | 2017-04-06 |
| 1750839478 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 4710 Bellaire Blvd Ste 390, Bellaire, TX 77401 | 2016-09-12 |
| 1003287657 | Juna Medical LLC | Durable Medical Equipment & Medical Supplies | 5420 Bellaire Blvd, Suite C, Bellaire, TX 77401 | 2015-10-08 |
| 1366820201 | Jennifer Lorene Christian | Counselor | 5959 West Loop South, Suite 515, Bellaire, TX 77401 | 2015-05-12 |
| 1326430778 | Margaret Mcalpin Crady | Social Worker | 6750 West Loop South, # 860, Bellaire, TX 77401 | 2015-02-23 |
| 1952702193 | Sally Eisen Miller | Marriage & Family Therapist | 5909 West Loop S. #590, Bellaire, TX 77401 | 2014-09-08 |
| Find all providers in zip 77401 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336256395 | Nuclear Imaging of Texas | Clinic/Center | 5420 West Loop S Ste 1700, Bellaire, TX 77401-2116 | 2006-08-24 |
| 1801833637 | Imaging Centers of Greater Houston, Lp | Clinic/Center | 6565 West Loop S, Suite 100, Bellaire, TX 77401-3500 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515428 | Medical Referral Services, LLC | Clinic/Center | 2450 Nasa Pkwy Ste 125, Houston, TX 77058-3784 | 2020-10-16 |
| 1275144750 | Midland Imaging Center, LLC | Clinic/Center | 2106 N. Midland Dr., Ste 101, Midland, TX 79707-5503 | 2020-08-10 |
| 1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
| 1538777123 | Lexington Medical Imaging, LLC | Clinic/Center | 15925 Lexington Blvd, Sugar Land, TX 77479-2314 | 2020-07-20 |
| 1871101899 | Blue Star Imaging Sa, LLC | Clinic/Center | 112 Herff Rd, Boerne, TX 78006-2747 | 2020-07-15 |
| 1396362836 | Parkhill Imaging Clearfork LLC | Clinic/Center | 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136 | 2020-07-01 |
| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
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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.