DR. JACOB KIRAN OOMMEN (NPI# 1669676243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669676243 |
| Entity Type | Individual |
| Full Name | DR. JACOB KIRAN OOMMEN |
| Credential | MD |
| Practice Address |
411 Gully Ranch Ct Dickinson TX 77539-7279 |
| Mailing Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
N6949 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881736627 | Jacob Oommen | Specialist | 502 Rue De Sante Ste 208, La Place, LA 70068-5424 | 2007-02-12 |
| 1720020431 | Jacob Saj Oommen | Internal Medicine | 19204 N 93rd Way, Scottsdale, AZ 85255-5528 | 2006-06-10 |
| Street Address |
411 GULLY RANCH CT |
| City | DICKINSON |
| State | TX |
| Zip Code | 77539-7279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940351 | Sushkap Dental Pllc | Dentist | 3448 Gulf Fwy., Dickinson, TX 77539 | 2020-04-09 |
| 1912567108 | Doves Home Care Agency, LLC | Home Health | 1124 Oak Hollow Dr, Dickinson, TX 77539 | 2019-06-19 |
| 1245718469 | Divine Csrd, LLC | Occupational Therapist | 608 Farm To Market Road 517 West, Dickinson, TX 77539 | 2018-07-31 |
| 1912491515 | Montoya Wilturner | Behavior Technician | 3001 Avenue B, Dickinson, TX 77539 | 2018-06-18 |
| 1528556370 | Taurus T, Pllc | Internal Medicine | 1621 Fm 517 Rd E, Dickinson, TX 77539 | 2018-04-27 |
| 1720504111 | Southwest Wellness Solutions | Physical Therapist | 608 Fm 517 Rd W, Dickinson, TX 77539 | 2017-08-17 |
| 1578013025 | Joie Hawkins Brownlee | Registered Nurse | 1804 Fm 646 Rd W Ste J, Dickinson, TX 77539 | 2016-10-08 |
| 1942668058 | Kelly Engle | Registered Nurse | 3828 Hughes Ct #104, Utmb Rmchp, Dickinson, TX 77539 | 2016-02-03 |
| 1356715122 | Quynh Le | Pharmacist | 3014 N Meadow Ln, Dickinson, TX 77539 | 2015-11-17 |
| 1144639311 | Jennifer Lee Warwick | Physician Assistant | 680 Fm 517 Road West, Dickinson, TX 77539 | 2014-08-12 |
| Find all providers in zip 77539 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386776722 | Susan C Gaskill Md Pa | Radiology | 2211 West Fm 646, 100, Dickinson, TX 77539 | 2007-03-12 |
| 1366423618 | Prairie Imaging, PC | Radiology | 112 3rd St W, Dickinson, ND 58601-5136 | 2005-11-11 |
| 1578550745 | Susan C Gaskill | Radiology | 2211 Fm 646 West, Dickinson, TX 77539 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492311 | Mobile Life-saving Health Services LLC | Radiology | 12522 Reverence Way, Cypress, TX 77429-0038 | 2020-09-18 |
| 1629683818 | Springwood Radiology Associates, Pllc | Radiology | 3010 Palmer Way, Spring, TX 77380-4081 | 2020-09-14 |
| 1861000572 | Benchmark Imaging Center LLC | Radiology | 510 Victoria Ln Ste 2, Harlingen, TX 78550-3239 | 2020-07-20 |
| 1174131049 | Specialty Imaging Consultants LLC | Radiology | 4320 Westway Ave, Dallas, TX 75205-3728 | 2020-07-16 |
| 1689294118 | Yolanda Salas Vergara | Radiology | 215 E Quincy St Ste 100, San Antonio, TX 78215-2032 | 2020-04-24 |
| 1568095123 | Century Radiology Medical Group, Inc | Radiology | 7102 Bethencourt, San Antonio, TX 78209-3407 | 2020-02-21 |
| 1760030852 | Francis Joseph Carabin | Radiology | 318 E Nakoma St, San Antonio, TX 78216-2795 | 2019-08-31 |
| 1922650605 | Hw Diagnostics LLC | Radiology | 18652 Mckay Dr Ste 200, Humble, TX 77338-5716 | 2019-07-12 |
| 1780246561 | Imaging Consultants | Radiology | 7250 Dallas Pkwy Ste 400, Plano, TX 75024-4931 | 2019-07-02 |
| 1366000531 | Interventional Partners, LLC | Radiology | 1650 Round Rock Ave Ste 100, Round Rock, TX 78681-4082 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
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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.