ZAZEN MEDICAL GROUP PLLC (NPI# 1699273144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699273144 |
| Entity Type | Organization |
| Organization Name | ZAZEN MEDICAL GROUP PLLC |
| Practice Address |
25230 Kingsland Blvd Ste 102 Katy TX 77494 |
| Practice Telephone | 8323042004 |
| Mailing Telephone | 8323042004 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | RENATA PEREIRA (ADMINISTRATOR) |
| Authorized Official Telephone | 9795491131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
25230 KINGSLAND BLVD STE 102 |
| City | KATY |
| State | TX |
| Zip Code | 77494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440653 | Radha Ann Tamerisa | Internal Medicine | 25230 Kingsland Blvd Ste 102, Katy, TX 77494-3256 | 2005-07-11 |
| 1699335281 | Jenna Shepherd | Registered Nurse | 25230 Kingsland Blvd Ste 102, Katy, TX 77494-3256 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258835 | Douglas Keith Fernandez | Internal Medicine | 1331 W Grand Parkway N, Suite 350, Katy, TX 77493-2711 | 2005-07-11 |
| 1366440653 | Radha Ann Tamerisa | Internal Medicine | 25230 Kingsland Blvd Ste 102, Katy, TX 77494-3256 | 2005-07-11 |
| 1245880426 | Imperial Digestive Health Specialists Pllc | Internal Medicine | 23920 Katy Fwy Ste 215, Katy, TX 77494-0881 | 2019-09-19 |
| 1558865832 | Murtaza Arif Pllc | Internal Medicine | 1331 W Grand Pkwy N Ste 350, Katy, TX 77493-2711 | 2018-03-21 |
| 1730610320 | Radha Tamerisa Md Pa | Internal Medicine | 1331 W Grand Pkwy N, Suite 350, Katy, TX 77493-2710 | 2017-03-24 |
| 1467846097 | Premier Physician Services Pllc | Internal Medicine | 22136 Westheimer Pkwy, Suite # 850, Katy, TX 77450-8296 | 2015-03-20 |
| 1821424268 | William A Currie Md Pa | Internal Medicine | 21700 Kingsland Blvd, Suite 201, Katy, TX 77450-2545 | 2013-09-17 |
| 1811238454 | Houston Gastro Institute Pllc | Internal Medicine | 777 S Fry Rd, 206, Katy, TX 77450-2244 | 2013-03-06 |
| 1104085919 | Digestive Center Associates Pllc | Internal Medicine | 701 S Fry Rd, Suite 220, Katy, TX 77450-2255 | 2008-06-06 |
| 1326191081 | Vivian Abenaa Asamoah | Internal Medicine | 777 S Fry Rd, Katy, TX 77450 | 2007-01-18 |
| Find all providers in KATY | ||||
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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.