CAMELLIA MAYRA REYES (NPI# 1720453210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720453210 |
| Entity Type | Individual |
| Full Name | CAMELLIA MAYRA REYES |
| Credential | AA |
| Practice Address |
2411 Fountain View Dr Ste. 200 Houston TX 77057-4817 |
| Mailing Address |
Po Box 650865 Dallas TX 75265-0865 |
| Practice Telephone | 7136204000 |
| Mailing Telephone | 7136204000 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 3048 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2411 FOUNTAIN VIEW DR STE. 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77057-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306920 | Patricia C Elles | Nurse Anesthetist, Certified Registered | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2005-06-16 |
| 1063881662 | Daniel Chen | Anesthesiologist Assistant | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2015-09-24 |
| 1124403829 | Steven Eric Stewart | Nurse Anesthetist, Certified Registered | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2015-07-23 |
| 1073992533 | Greater Houston Anesthesiology | Registered Nurse | 2411 Fountain View Dr, Suite 200, Houston, TX 77057-4817 | 2015-05-29 |
| 1588041693 | Shoghig Mouses Frankian | Registered Nurse | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2015-04-28 |
| 1457743205 | Jason Edward Thomas | Nurse Anesthetist, Certified Registered | 2411 Fountain View Dr, Houston, TX 77057-4817 | 2015-03-02 |
| 1467842773 | Danielle Deon Lowery | Nurse Anesthetist, Certified Registered | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2015-01-26 |
| 1750770384 | Shirnyl Taylan Alviza | Registered Nurse | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2015-01-20 |
| 1104215862 | Nicole Leslie Jones | Anesthesiologist Assistant | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2015-01-20 |
| 1760870083 | William Coy Coltharp | Nurse Anesthetist, Certified Registered | 2411 Fountain View Dr, Ste. 200, Houston, TX 77057-4817 | 2015-01-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096810 | Valencia Annik Payne | Registered Nurse | 5850 San Felipe Street Suite 500, Houston, TX 77057 | 2019-08-01 |
| 1144874884 | Birds Eye View Optometry Tanglewood Pllc | Optometrist | 5706 San Felipe St, Suite # B400, Houston, TX 77057 | 2019-07-31 |
| 1780168484 | Promidel Group LLC | Durable Medical Equipment & Medical Supplies | 5850 San Felipe Suite 500, Houston, TX 77057 | 2018-09-18 |
| 1750862074 | Express Rehab LLC | Clinic/Center | 6301 Richmond Ave Ste 110, Houston, TX 77057 | 2018-08-24 |
| 1902398258 | Serene Springs Health & Wellness Clinic | Nurse Practitioner | 6300 Richmond Ave Ste 202, Houston, TX 77057 | 2018-06-02 |
| 1063965978 | Crystal Adodo | Nurse Practitioner | 5749 San Felipe, Houston, TX 77057 | 2016-07-27 |
| 1639553266 | Nova Healthcare In LLC | Preventive Medicine | 2425 Fountain View Dr. Suite 160, Houston, TX 77057 | 2015-07-14 |
| 1134502941 | Audiology Partners of Texas, LLC | Hearing Aid Equipment | 5781 Woodway Dr, Houston, TX 77057 | 2015-06-30 |
| 1417348491 | Verimed Health and Medical Wellness Clinic, Inc | Specialist | 6363 Richmond Avenue Suite 278, Houston, TX 77057 | 2015-02-11 |
| 1740688076 | Candus Irby | Technician | 6363 Beverly Hill St Suite 8, Houston, TX 77057 | 2014-12-19 |
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| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336647874 | Charlie Phung | Anesthesiologist Assistant | 6431 Fannin St Ste 5020, Houston, TX 77030-1501 | 2018-01-30 |
| 1548620594 | Danielle Michelle Brooks | Anesthesiologist Assistant | 12418 Dawn Terrace, Houston, TX 77048 | 2016-03-03 |
| 1982070074 | Thomas Kennelly | Anesthesiologist Assistant | 6720 Bertner Ave # 226, Houston, TX 77030-2604 | 2015-08-12 |
| 1740616564 | Quincy You | Anesthesiologist Assistant | 714 Fm 1960 Rd W, Suite 206, Houston, TX 77090-3405 | 2013-09-25 |
| 1881944957 | Benjamin Malonzo | Anesthesiologist Assistant | 714 Fm 1960 West, Suite 206, Houston, TX 77090-3408 | 2012-09-14 |
| 1982877601 | Salihu A Yarima | Anesthesiologist Assistant | 6431 Fannin St Ste 5.020, Houston, TX 77030-1501 | 2008-04-03 |
| 1992310981 | Oluwatumininu M Oduntan | Anesthesiologist Assistant | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2020-09-15 |
| 1750995254 | Texpath LLC | Anesthesiologist Assistant | 7102 W Sam Houston Pkwy N Ste 225, Houston, TX 77040-3165 | 2020-09-02 |
| 1396368825 | Samantha Alper | Anesthesiologist Assistant | 18300 Houston Methodist Dr, Houston, TX 77058-6302 | 2020-05-19 |
| 1154943827 | Tedra Hall | Anesthesiologist Assistant | 1 Baylor Plz, Houston, TX 77030-3498 | 2020-05-15 |
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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.