EAST TEXAS MINIMALLY INVA MICRO NS (NPI# 1730378449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730378449 |
Entity Type | Organization |
Organization Name | EAST TEXAS MINIMALLY INVA MICRO NS |
Practice Address |
703 E Marshall Ave Suite 3004 Longview TX 75601-5500 |
Practice Telephone | 9032388110 |
Practice Fax Number | 9032388190 |
Mailing Telephone | 9032388110 |
Mailing Fax Number | 9032388190 |
Enumeration Date | 2007-10-18 |
Last Update Date | 2011-07-19 |
Authorized Official Name | MRS. ESTHER M TIVIDAD (OFFICE MANAGER) |
Authorized Official Telephone | 9032388110 |
Authorized Official Credential | R.N. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
Street Address |
703 E MARSHALL AVE SUITE 3004 |
City | LONGVIEW |
State | TX |
Zip Code | 75601-5500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407853732 | Gary R Jacobs | Surgery | 703 E Marshall Ave, #4008, Longview, TX 75601-5500 | 2005-07-01 |
1568011336 | Jamie Dawn Graves | Nurse Practitioner | 703 E Marshall Ave, Longview, TX 75601-5500 | 2019-09-05 |
1831562834 | Dana Johnson | Nurse Practitioner | 703 E Marshall Ave, Suite 5007, Longview, TX 75601-5500 | 2015-11-12 |
1588034128 | Carrie Judd | Nurse Practitioner | 703 E Marshall Ave, Suite 1001, Longview, TX 75601-5500 | 2015-09-25 |
1750769238 | Special Health Resources for Texas Incorporated | Clinic/Center | 703 E Marshall Ave, Suite 310, Longview, TX 75601-5500 | 2015-05-15 |
1588074082 | Horachel Jones | Nurse Practitioner | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2014-05-06 |
1710238514 | Sai Soumya S. Kota | Internal Medicine | 703 E Marshall Ave, Suite 1001, Longview, TX 75601-5500 | 2012-09-20 |
1528323953 | Khashayar Kash Vahdat | Internal Medicine | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2012-07-11 |
1942573381 | Good Shepherd Surgical Associates, Pllc | Surgery | 703 E Marshall Ave, Suite 3000, Longview, TX 75601-5500 | 2012-02-15 |
1699085563 | Cr Martin M D P A | Internal Medicine | 703 E Marshall Ave, Suite 3008, Longview, TX 75601-5500 | 2010-10-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
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Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639356991 | Ohsu Medical Group | Neurological Surgery | 1060 Hudson St, Longview, WA 98632-3103 | 2008-01-29 |
1750367876 | Thomas Chow | Neurological Surgery | 703 E Marshall Ave, Suite 3004, Longview, TX 75601-5500 | 2005-12-20 |
1447249552 | Theodore L Slade | Neurological Surgery | 701 E Marshall Ave, Suite 410, Longview, TX 75601-5659 | 2005-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447869003 | Scott B Phillips Pllc | Neurological Surgery | 1303 Mccullough Ave Ste 166, San Antonio, TX 78212-5603 | 2020-07-29 |
1710595996 | Laredo Surgical Center | Neurological Surgery | 10410 Medical Loop Bldg 4a, Laredo, TX 78045-6672 | 2020-07-14 |
1710506803 | Houston Texas Neurosurgical Institute. Pllc | Neurological Surgery | 925 Gessner Rd Ste 500, Houston, TX 77024-2644 | 2020-04-09 |
1760046080 | Adam Franklin Carlton | Neurological Surgery | 301 University Blvd # Mr 0517, Galveston, TX 77555-0517 | 2019-04-23 |
1235698911 | South Texas Neurosurgery Associates | Neurological Surgery | 3475 W Alton Gloor Blvd Ste A, Brownsville, TX 78520 | 2019-03-13 |
1376009951 | Dallas Center for Neuro and Spine Excellence LLP | Neurological Surgery | 4013 Centenary Ave, Dallas, TX 75225-5430 | 2019-02-19 |
1679040414 | Advances Istitute for Joint and Spine Disorders | Neurological Surgery | 6160 Windhaven Pkwy Ste 200, Plano, TX 75093-2138 | 2018-10-30 |
1891270989 | Alma Diana Garza | Neurological Surgery | 1139 E Sonterra Blvd Ste 301, San Antonio, TX 78258-4348 | 2018-09-25 |
1861975922 | Neurosurgical Group of Texas, LLP | Neurological Surgery | 8731 Katy Fwy Ste 325, Houston, TX 77024-1703 | 2018-09-13 |
1508347998 | William T Mccullough Md Pa | Neurological Surgery | 1101 Raintree Cir Ste 12o, Allen, TX 75013-4922 | 2018-08-24 |
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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.