BETTY KALIANDA OETAMA (NPI# 1720049356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720049356 |
| Entity Type | Individual |
| Full Name | BETTY KALIANDA OETAMA |
| Credential | M.D. |
| Practice Address |
2525 West Bellfort Street Ste 120 Houston TX 77054-5024 |
| Mailing Address |
Po Box 421849 Houston TX 77242-1849 |
| Practice Telephone | 7137416677 |
| Practice Fax Number | 7137485860 |
| Mailing Telephone | 7135596929 |
| Mailing Fax Number | 7135596928 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2018-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
00025871 | AL | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
L6132 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 176504201 | 05 | |
| TX | 176504202 | 05 |
| Street Address |
2525 WEST BELLFORT STREET STE 120 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439665 | Gary L. Hollingsworth | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2005-06-30 |
| 1770729758 | Sarah Kott Galfione | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2008-12-23 |
| 1124295092 | Mary Elaine Kling | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2008-05-10 |
| 1376733675 | Amy A. Zingalis | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2007-08-01 |
| 1619172293 | Kyle Louis Eskue | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2007-06-15 |
| 1649358789 | Cristina Montalvo | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2006-11-02 |
| 1851371512 | Robyn A. Beach | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2006-01-19 |
| 1568460475 | Yan Gu | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2005-07-13 |
| 1245238708 | Steven J. O'connor | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2005-07-08 |
| 1467459768 | Edward O Uthman | Pathology | 2525 West Bellfort Street, Ste 120, Houston, TX 77054-5024 | 2005-06-30 |
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| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840730 | Peachy Ridgway Gilmer Jr. | Pathology | 35 Tiel Way, Houston, TX 77019-1509 | 2016-02-05 |
| 1992189559 | Lina Abdul Karim | Pathology | 1515 Holcombe Blvd # 085, Houston, TX 77030-4000 | 2015-07-14 |
| 1346622834 | Brooke Blake | Pathology | 1861 Old Spanish Trl, Houston, TX 77054-2001 | 2015-06-22 |
| 1215315619 | Andreia Nogueira Barbieri | Pathology | 6565 Fannin St # M1-076, Houston, TX 77030-2703 | 2015-05-18 |
| 1174900146 | Ghadah Al Sannaa | Pathology | 7903 Windswept Ln, Houston, TX 77063 | 2015-04-29 |
| 1770992364 | Leo Joseph Williams Jr. | Pathology | 11726 Legend Manor Dr, Houston, TX 77082-3076 | 2014-08-07 |
| 1851737845 | Nicola E Dundas | Pathology | 2525 W. Bellfort Avenue, Suite 120, Houston, TX 77054-5024 | 2013-05-16 |
| 1720423270 | Joshua Baalwa | Pathology | 5656 Kelley St Dept Of, Houston, TX 77026-1967 | 2013-05-09 |
| 1518301613 | Mhair Dekmezian | Pathology | 3732 Glen Haven Blvd, Houston, TX 77025-1205 | 2013-04-19 |
| 1841634110 | Anneliese Velez-perez | Pathology | 2525 W. Belfort Avenue, Suite 120, Houston, TX 77054-5024 | 2013-04-17 |
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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.