JHONNY MARTIN BAZAN MD PA (NPI# 1710048756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710048756 |
| Entity Type | Organization |
| Organization Name | JHONNY MARTIN BAZAN MD PA |
| Practice Address |
1337 E Palmavista Dr Suite A Palmview TX 78572 |
| Mailing Address |
3108 Los Milagros Mission TX 78572 |
| Practice Telephone | 9565199500 |
| Practice Fax Number | 9565194549 |
| Mailing Telephone | 9565199500 |
| Mailing Fax Number | 9565149414 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-03-27 |
| Authorized Official Name | JHONNY MARTIN BAZAN (OWNER MD) |
| Authorized Official Telephone | 9565199500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | K1355 | TX | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | K1355 | TX | Allopathic & Osteopathic Physicians |
| Y | 251B00000X | Case Management | 220041063 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1912169459 | 01 |
| TX | 173560701 | 05 | |
| TX | CASE MANAGEMENT | 220041063 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 0066NL | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801122445 | Jhonny Martin Bazan Md Pa | Clinic/Center | 1337 E Palma Vista Dr, Ste.a, Palmview, TX 78572-2055 | 2009-11-01 |
| Street Address |
1337 E PALMAVISTA DR SUITE A |
| City | PALMVIEW |
| State | TX |
| Zip Code | 78572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760542807 | Jhonny Martin Bazan | Pediatrics | 1337 E Palmavista Dr, Suite A, Palmview, TX 78572 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1710528187 | Te Cuidamos, LLC | Home Health | 2205 N Inspiration Rd, Ste A, Mission, TX 78572 | 2019-10-07 |
| 1356806475 | Severo Esteban Saenz | Physical Therapist | 816 Travis St Apt E55, Mission, TX 78572 | 2019-02-02 |
| 1609352715 | Community First Home Health | Home Health | 1707 Merlin, Mission, TX 78572 | 2018-07-12 |
| 1831681279 | Yuriko Garcia | Physician Assistant | 910 S. Bryan Rd., Suite #105, Mission, TX 78572 | 2018-06-01 |
| 1982193918 | Dalinda Valdez | Registered Nurse | 1707 Merlin Dr, Mission, TX 78572 | 2018-05-04 |
| 1487152260 | Azul Homecare, LLC. | Technician | 2007 East Griffin Parkway, Ste. C, Mission, TX 78572 | 2018-01-26 |
| 1760998371 | J Bravo Medical Services | Clinic/Center | 2001 W 3 Mile Line Rd, 2400 & 2500, Mission, TX 78572 | 2017-12-18 |
| 1821528654 | Bit Na Lee | Dentist | 213 E Expy 83, Mission, TX 78572 | 2017-06-14 |
| 1568901957 | Ofelia Perez Hernandez Dds Pllc | Dentist | 8360 W. Expy 83, Mission, TX 78572 | 2017-02-17 |
| Find all providers in zip 78572 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487816 | Total Restoration Behavioral Science and Counseling Center | Case Management | 9823 Brilliant Lake Dr, Humble, TX 77396-1570 | 2020-11-04 |
| 1609477157 | H.a.r Support Services, LLC | Case Management | 5608 Bellissima Way, Round Rock, TX 78665-2667 | 2020-11-02 |
| 1760081228 | Lighthouse Group Homes, LLC | Case Management | 2109 Quail Run Apt B, Mckinney, TX 75071-1013 | 2020-10-25 |
| 1760081715 | Valescere Spring Branch | Case Management | 10005 Lazy Oaks Dr, Houston, TX 77080 | 2020-10-21 |
| 1588263966 | Building Bridges With Love | Case Management | 611 Dairy Ashford Rd Apt 407, Houston, TX 77079-3925 | 2020-10-18 |
| 1720686959 | Enlightened Gems Home Healthcare, Inc. | Case Management | 6547 Beech Trail Dr, Converse, TX 78109-3373 | 2020-10-09 |
| 1114524584 | Kimberly Marie Pittard | Case Management | 3906 Figure Four Lake Ln, Richmond, TX 77406-8084 | 2020-10-07 |
| 1821605312 | Mmk Group of Texas | Case Management | 21510 Hales Hunt Ct, Spring, TX 77388-6952 | 2020-09-28 |
| 1104433853 | Amy Sanford | Case Management | 23770 Springwoods Village Pkwy Apt 258, Spring, TX 77373-5104 | 2020-09-28 |
| 1316554215 | A New Way of Life Mentoring Services | Case Management | 7601 Fm 1960 Rd E, Humble, TX 77346-2209 | 2020-09-25 |
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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.