DR. MARK DOUGLAS PUCEK (NPI# 1720018708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720018708 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS PUCEK |
| Credential | M.D. |
| Practice Address |
1414 South Loop W Houston TX 77054-3825 |
| Mailing Address |
912 Avenue J Dickinson TX 77539-5294 |
| Practice Telephone | 7137976106 |
| Practice Fax Number | 7137900507 |
| Mailing Telephone | 2813378010 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
G3707 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1414 SOUTH LOOP W |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780730929 | Josephine Tarriman Aligno | Physical Therapist | 1414 South Loop W, Suite 200, Houston, TX 77054-3825 | 2007-01-27 |
| 1902810898 | Karen Giuliani Scott | Physician Assistant | 1414 South Loop W, Suite 200, Houston, TX 77054-3825 | 2006-07-28 |
| 1962422907 | Lisa Carrillo | Physical Therapist | 1414 South Loop W, Ste. #200, Houston, TX 77054-3825 | 2006-07-20 |
| 1205868387 | Rice Nuclear Diagnostics, L.p. | Radiology | 1414 South Loop W, Suite 120, Houston, TX 77054-3825 | 2006-07-07 |
| 1740210954 | Agnes Tecson Masiglat | Physical Therapist | 1414 South Loop W, Suite 200, Houston, TX 77054-3825 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568661452 | Siva Ayyar | Preventive Medicine | 6641 Grand Blvd, Houston, TX 77021 | 2007-07-12 |
| 1902021728 | Richard O Dockins | Preventive Medicine | 1401 Calumet St Unit 304, Houston, TX 77004-7162 | 2007-04-16 |
| 1124142724 | Jeffrey D. Britton | Preventive Medicine | 2646 S Loop W Ste 550, Houston, TX 77054-5614 | 2007-03-19 |
| 1760566152 | Dwight Peake | Preventive Medicine | 2101 Nasa Pkwy # 1, Houston, TX 77058-3607 | 2006-10-24 |
| 1346335551 | Kenneth Douglas Wells | Preventive Medicine | !001 Louisiana, Suite 1047, Houston, TX 77021 | 2006-10-04 |
| 1447807870 | Healthstat Onsite Clinic Goodyear Houston | Preventive Medicine | 2000 Goodyear Dr, Houston, TX 77017-2602 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790332955 | Healthstat Onsite Clinic Goodyear Beaumont | Preventive Medicine | 11357 Ih 10, Sw @ Smith Road, Beaumont, TX 77720 | 2019-08-22 |
| 1871051763 | Thomas Pace | Preventive Medicine | 808 Glenmont Rd, Keller, TX 76248-0377 | 2019-03-09 |
| 1033690250 | Nicole Eileen Finkelstein | Preventive Medicine | 6009 Seville Dr, Austin, TX 78724-6127 | 2018-08-25 |
| 1104368430 | David E Turner | Preventive Medicine | 6218 Holly Oaks Ct, Fulshear, TX 77441-1134 | 2016-11-17 |
| 1700268950 | Healthstat Onsite Clinic Mvm Cuero | Preventive Medicine | 202 N Gazzie St, Cuero, TX 77954-3730 | 2015-06-24 |
| 1801276142 | Dr Suzanne Schafer Pllc | Preventive Medicine | 2392 Calypso Ln, League City, TX 77573-2795 | 2015-06-02 |
| 1750777140 | Healthstat Onsite Clinic Hsm Arlington Tx | Preventive Medicine | 605 109th St, Suite 300, Arlington, TX 76011-7601 | 2015-04-13 |
| 1871837476 | John Patrick Gibbs | Preventive Medicine | 300 Fischer Store Rd, Wimberley, TX 78676-6425 | 2012-11-20 |
| 1821332776 | Hanlin Liu | Preventive Medicine | 5000 Bayway Dr, Baytown, TX 77520-2123 | 2012-11-15 |
| 1912272477 | John George Mueller | Preventive Medicine | 60 Crown Pl, Richardson, TX 75080-1603 | 2012-03-16 |
| 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.