BOUTROS P. KAHLA, M.D., P.A. (NPI# 1730399668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730399668 |
| Entity Type | Organization |
| Organization Name | BOUTROS P. KAHLA, M.D., P.A. |
| Practice Address |
4201 Garth Rd Ste 313 Baytown TX 77521-3156 |
| Practice Telephone | 2814284001 |
| Practice Fax Number | 2814284044 |
| Mailing Telephone | 2814284001 |
| Mailing Fax Number | 2814284044 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-09-12 |
| Authorized Official Name | BOUTROS P KAHLA (OWNER) |
| Authorized Official Telephone | 2814284001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 189686201 | 05 | |
| TX | BCBS | 0064PV | 01 |
| Street Address |
4201 GARTH RD STE 313 |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584690 | Edward William Leahey | Internal Medicine | 4201 Garth Rd, 100, Baytown, TX 77521-3167 | 2005-08-02 |
| 1295285575 | Mayla Garcia | Nurse Practitioner | 4201 Garth Rd, Suite 208, Baytown, TX 77521-3167 | 2016-10-10 |
| 1952794216 | Complete Wellness Center | Allergy & Immunology | 4201 Garth Rd, Suite 290, Baytown, TX 77521-3167 | 2015-03-11 |
| 1619301223 | Michelle A Obale | Nurse Practitioner | 4201 Garth Rd, Suite 212, Baytown, TX 77521-3167 | 2013-08-30 |
| 1710329966 | Danny Wong M.d. Pa | Otolaryngology | 4201 Garth Rd, Ste 321, Baytown, TX 77521-3167 | 2013-07-29 |
| 1922379536 | East Houston Cardiovascular Associates Pa | Internal Medicine | 4201 Garth Rd, Suite 318, Baytown, TX 77521-3167 | 2012-01-13 |
| 1124312012 | Testsmartrx LLC | Psychologist | 4201 Garth Rd, Ste 290, Baytown, TX 77521-3167 | 2011-06-08 |
| 1396046371 | Mohammed Athari, Md, Pa | Psychiatry & Neurology | 4201 Garth Rd, Ste 210, Baytown, TX 77521-3167 | 2010-11-08 |
| 1528368156 | Eric S. Rothenberg, M.d., P.a | Clinic/Center | 4201 Garth Rd, Suite 111, Baytown, TX 77521-3167 | 2010-10-29 |
| 1194038281 | Houssam Ahmad Oueini | Internal Medicine | 4201 Garth Rd, Baytown, TX 77521 | 2010-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150995 | Md1961 LLC | Surgery | 4201 Garth Rd Ste 301, Baytown, TX 77521-3156 | 2018-10-16 |
| 1548487374 | Drew Davis Williams | Surgery | 1217 Kilgore Rd, Baytown, TX 77520-3912 | 2007-04-20 |
| 1871648857 | Thomas Newton Holsomback | Surgery | 800 Danubina, Baytown, TX 77520-5768 | 2007-01-23 |
| 1346391083 | Boutros P Kahla | Surgery | 4201 Garth Rd Ste 307, Baytown, TX 77521-3156 | 2007-01-16 |
| 1275613895 | Monira Hamid | Surgery | 1682 W Baker Rd, Suite A, Baytown, TX 77521-3160 | 2006-10-17 |
| 1134461254 | Provectus Medical Inc | Surgery | 6232 N Highway 146, Baytown, TX 77523-1000 | 2013-03-27 |
| 1417206772 | Kendell Jean Sowards | Surgery | 4201 Garth Rd Ste 307, Baytown, TX 77521 | 2012-09-02 |
| 1255624219 | Esther Dubrovsky | Surgery | 4201 Garth Rd Ste 201, Baytown, TX 77521-3155 | 2011-05-24 |
| 1720257454 | Edward Manuel Pina | Surgery | 4201 Garth Road, Ste 301, Baytown, TX 77522-2111 | 2008-02-27 |
| 1164608733 | Monira Hamid-kundi Md Pa | Surgery | 4021 Garth Rd, Suite 102, Baytown, TX 77521-3160 | 2008-01-14 |
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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.