GORIOLA TONY SHOTOMIWA (NPI# 1629314489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629314489 |
| Entity Type | Individual |
| Full Name | GORIOLA TONY SHOTOMIWA |
| Practice Address |
6814 Stableton Ln Houston TX 77049-2054 |
| Practice Telephone | 7135427438 |
| Mailing Telephone | 7135427438 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 36239122 | TX | Suppliers |
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
36239122 | TX | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
36239122 | TX | Suppliers |
| Street Address |
6814 STABLETON LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77049-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093991069 | Laquanita Shanel Campbell | Licensed Vocational Nurse | 6814 Stableton Ln, Houston, TX 77049-2054 | 2008-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059032 | Cheryl Melissa Lewis | Nurse Practitioner | 18360 Wallisville Road, Houston, TX 77049 | 2018-10-15 |
| 1962757898 | Lmr Webster Street Pharmacy Incorporated | Pharmacy | 11519 Wallisville Rd Ste 500, Houston, TX 77049 | 2012-07-17 |
| 1083816458 | Wallisville Dental Associates, Pa | Dentist | 14570 Wallisville Road, Suite 2, Houston, TX 77049 | 2007-06-05 |
| 1144376823 | Phuong T Nguyen | Dentist | 14570 Wallisville Rd Suite #2, Houston, TX 77049 | 2007-01-26 |
| 1366524324 | Gmn Vision LLC | Durable Medical Equipment & Medical Supplies | 14570 Wallisville Rd, Suite 3b, Houston, TX 77049 | 2006-10-19 |
| 1801993795 | Jadalia Home Health Agency, Inc. | Home Health | 14651 Leacrest Drive, Houston, TX 77049 | 2006-09-20 |
| 1881662344 | South Lake Houston Emergency Medical Services | Ambulance | 14418 Beaumont Highway, Houston, TX 77049 | 2006-03-10 |
| 1770579872 | Karen Elizabeth Smith-cook | Pediatrics | 13711 Wallisville Rd, Houston, TX 77049 | 2005-09-23 |
| 1275015489 | Alexander Chernyshov | Counselor | 13711 Wallisville Rd, Houston, TX 77049 | 2018-09-04 |
| 1295090389 | Oyelola Omowunmi Atobajeun | Dentist | 5607 Uvalde Rd, Houston, TX 77049 | 2012-07-05 |
| Find all providers in zip 77049 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349589 | Cjand Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 12315 Bellaire Blvd Ste 800, Houston, TX 77072-2557 | 2020-06-02 |
| 1780187237 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 8888 Interchange Dr Rm 119, Houston, TX 77054-2512 | 2018-03-12 |
| 1619242997 | Option Care Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 9360 Kirby Dr Ste 100, Houston, TX 77054-2515 | 2012-03-20 |
| 1225337066 | Shield Texas Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1000 N Post Oak Rd Ste 280, Houston, TX 77055-7285 | 2011-03-18 |
| 1073814703 | Hanstine, Inc. | Durable Medical Equipment & Medical Supplies | 14027 Memorial Dr # 145, Houston, TX 77079-6826 | 2010-11-11 |
| 1679889687 | J and R Medical Supply | Durable Medical Equipment & Medical Supplies | 16840 Clay Rd, Ste. 117, Houston, TX 77084 | 2010-08-27 |
| 1710298211 | Jose L. Estrella | Durable Medical Equipment & Medical Supplies | 13225 Fm 529 Rd Ste 109, Houston, TX 77041-2661 | 2010-06-30 |
| 1326170424 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 9400 Kirby Dr, Houston, TX 77054-2521 | 2007-03-12 |
| 1457385411 | Crusade Integrated Health Services,llc | Durable Medical Equipment & Medical Supplies | 10101 Fondren Rd Ste 327, Houston, TX 77096-5124 | 2006-07-10 |
| 1336185289 | Ltc Management Services LLC | Durable Medical Equipment & Medical Supplies | 14800 Saint Marys Ln, Suite 175, Houston, TX 77079-2935 | 2006-06-21 |
| 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.