PHENOMENON INC. (NPI# 1679957062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679957062 |
| Entity Type | Organization |
| Organization Name | PHENOMENON INC. |
| Practice Address |
6532 Burling St Waco TX 76712-7577 |
| Practice Telephone | 2542246347 |
| Mailing Telephone | 2542246347 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. DARRELL LEE SMITH JR. (CEO) |
| Authorized Official Telephone | 2542246347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
========= | TX | Ambulatory Health Care Facilities |
| Street Address |
6532 BURLING ST |
| City | WACO |
| State | TX |
| Zip Code | 76712-7577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881071769 | Darrell Smith Jr. | Clinic/Center | 6532 Burling St, Waco, TX 76712-7577 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881071769 | Darrell Smith Jr. | Clinic/Center | 6532 Burling St, Waco, TX 76712-7577 | 2015-04-30 |
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|---|---|---|---|---|
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| 1912441304 | Involved for Life, Inc. | Clinic/Center | 525 N Ervay St, Dallas, TX 75201-3149 | 2016-12-05 |
| 1265804561 | Linda Fay Nebben | Clinic/Center | 503 Sunset Acres Ct, Granbury, TX 76048-5487 | 2015-10-26 |
| 1053718296 | Isreal Cornelius Holmes | Clinic/Center | 3122 Springdale Dr, Pearland, TX 77584-5101 | 2014-12-03 |
| 1336551761 | Baylor College of Medicine Ten Health Clinic | Clinic/Center | 11625 Martindale Rd, Houston, TX 77048-2005 | 2014-05-20 |
| 1669711404 | Baylor College of Medicine Teen Health Clinic | Clinic/Center | 9215 Scott St, Houston, TX 77051-3302 | 2013-02-13 |
| 1760743819 | Pazmino's Home Care | Clinic/Center | 12610 La Plata St, 12610 La Plata St., San Antonio, TX 78233-6334 | 2012-06-06 |
| 1184980534 | Select Quality Medical Services | Clinic/Center | 6200 Gulf Freeway, Houston, TX 77023 | 2012-04-10 |
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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.