UT PHYSICIANS (NPI# 1639319684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639319684 |
| Entity Type | Organization |
| Organization Name | UT PHYSICIANS |
| Other Organization Name | UT PHYSICIANS NEUROSONOLOGY LABORATORY |
| Practice Address |
6410 Fannin 1014 Houston TX 77030-3000 |
| Mailing Address |
Po Box 201088 Houston TX 77216-1088 |
| Practice Telephone | 8323257080 |
| Practice Fax Number | 7135122239 |
| Mailing Telephone | 7135003500 |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |
| Authorized Official Name | ANDREW R CASAS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8323257317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| UT Physicians Neurosonology Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490008 | Ut Physicians | Pediatrics | 17510 W Grand Pkwy S Ste 450, Sugar Land, TX 77479-2650 | 2017-11-09 |
| 1942729728 | Ut Physicians | Emergency Medicine | 6410 Fannin St Ste 1500, Houston, TX 77030-5306 | 2017-09-13 |
| 1457870305 | Ut Physicians | Health Educator | 5420 Dashwood Dr Ste 301, Houston, TX 77081-5360 | 2017-09-12 |
| 1124542824 | Ut Physicians | Pediatrics | 920 Medical Plaza Dr Ste 140, Shenandoah, TX 77380-3751 | 2017-08-03 |
| 1427579366 | Ut Physicians | Pediatrics | 9801 Long Point Rd, Houston, TX 77055-4188 | 2017-06-30 |
| 1013438951 | Ut Physicians | Pediatrics | 17510 W Grand Pkwy S Ste 190, Sugar Land, TX 77479-2647 | 2017-06-30 |
| 1922528165 | Ut Physicians | Pediatrics | 23960 Katy Fwy Ste 160, Katy, TX 77494-0891 | 2017-06-20 |
| 1528509205 | Ut Physicians | Pediatrics | 929 Gessner Rd Ste 2440, Houston, TX 77024-2840 | 2017-03-15 |
| 1871037754 | Ut Physicians | Family Medicine | 5516 Lockwood Dr, Houston, TX 77026-1919 | 2016-12-12 |
| 1417401258 | Ut Physicians | Clinic/Center | 10623 Bellaire Blvd, Suite C280, Houston, TX 77072-5242 | 2016-08-10 |
| Street Address |
6410 FANNIN 1014 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487606851 | Eugene Chuck Toy | Obstetrics & Gynecology | 6410 Fannin, Suite 250, Houston, TX 77030 | 2006-05-16 |
| 1710506738 | Ashley Mann | Physician Assistant | 6410 Fannin, Ste 250, Houston, TX 77030 | 2020-04-09 |
| 1295146645 | Jamis Jackson | Student in an Organized Health Care Education/Training Program | 6410 Fannin, Suite 500, Houston, TX 77030 | 2014-05-19 |
| 1467783795 | Hector Mendez-figueroa | Obstetrics & Gynecology | 6410 Fannin, Suite 210, Houston, TX 77030 | 2010-01-27 |
| 1639408933 | Michael Thomas Adler | Obstetrics & Gynecology | 6410 Fannin, Suite 250, Houston, TX 77030 | 2009-12-15 |
| 1821326778 | William R Gervasio | Dentist | 6410 Fannin, Suite 1512, Houston, TX 77030 | 2009-12-03 |
| 1265561245 | The University of Texas Health Science Center At Houston | Dentist | 6410 Fannin, Suite 310, Houston, TX 77030 | 2007-03-05 |
| 1639208697 | Robert Jay Williams | Physician Assistant | 6410 Fannin, #1115, Houston, TX 77030 | 2007-03-05 |
| 1700809639 | M Radwan Al-sabbagh Md Pa | Internal Medicine | 6410 Fannin, 1260, Houston, TX 77030 | 2006-07-25 |
| 1518986009 | Allan R Katz | Obstetrics & Gynecology | 6410 Fannin, Suite 250, Houston, TX 77030 | 2006-07-18 |
| 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 | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447895396 | Intuit Testing LLC | Physiological Laboratory | 5431 Barker Cypress Rd Ste 600, Houston, TX 77084-7312 | 2019-11-14 |
| 1295387686 | Octagos Acquisition LLC | Physiological Laboratory | 13325 Hargrave Rd Ste 281, Houston, TX 77070-4539 | 2019-07-15 |
| 1770147514 | Medgroup Choice, LLC | Physiological Laboratory | 7 Riverway Unit 806, Houston, TX 77056-1989 | 2019-04-26 |
| 1801303235 | Sleeping Alpha LLC | Physiological Laboratory | 1616 Cullen Blvd, Houston, TX 77023-3046 | 2018-01-08 |
| 1225498173 | Johnny Gilbert | Physiological Laboratory | 529 Barker Clodine Rd, Apt. 25103, Houston, TX 77094-1447 | 2016-03-03 |
| 1124488085 | Bird Dog Pharma, LLC | Physiological Laboratory | 12242 Queenston Blvd Ste E, Houston, TX 77095-5353 | 2016-03-03 |
| 1508261033 | Us Meddx, Inc | Physiological Laboratory | 2950 North Loop W, Suite 500, Houston, TX 77092-8843 | 2014-10-27 |
| 1558636191 | Holistica, LLC | Physiological Laboratory | 1980 Post Oak Blvd Ste 1500, 1980 Post Oak Blvd, Ste 1500, Houston, TX 77056-3845 | 2012-03-15 |
| 1164799292 | Innovative Medical Assessments | Physiological Laboratory | 5200 Mitchelldale St Ste E16, Houston, TX 77092-7222 | 2011-11-17 |
| 1013292416 | Strategic Wellness & Health | Physiological Laboratory | 1051 Pineloch Dr Ste 800, Houston, TX 77062-2738 | 2011-10-17 |
| 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.