MR. CHAD BURCH (NPI# 1750388294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750388294 |
| Entity Type | Individual |
| Full Name | MR. CHAD BURCH |
| Credential | PA-C |
| Practice Address |
18652 Mckay Dr Humble TX 77338-5716 |
| Mailing Address |
15306 Holloway Hills Trl Cypress TX 77429-7483 |
| Practice Telephone | 2814461520 |
| Practice Fax Number | 2814460838 |
| Mailing Telephone | 7134099525 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | PA04723 | AL | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA04723 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04723 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 304423201 | 05 | |
| TX | TRICARE SOUTH | 1750388294 | 01 |
| TX | 304423202 | 05 | |
| TX | BCBS-TX | 8N0137 | 01 |
| Street Address |
18652 MCKAY DR |
| City | HUMBLE |
| State | TX |
| Zip Code | 77338-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982139242 | Khaula Raza | Registered Nurse | 18652 Mckay Dr, Humble, TX 77338-5716 | 2017-04-25 |
| 1992255939 | Humble Family Practice, Pllc | Family Medicine | 18652 Mckay Dr, Suite 100, Humble, TX 77338-5716 | 2016-10-13 |
| 1972901809 | Allyson Gelman | Physician Assistant | 18652 Mckay Dr, Humble, TX 77338-5716 | 2014-12-09 |
| 1528294741 | Casey E Mccain | Family Medicine | 18652 Mckay Dr, Suite 100, Humble, TX 77338-5716 | 2009-06-02 |
| 1942293121 | Huong Q Hoang | Family Medicine | 18652 Mckay Dr, Ste 100, Humble, TX 77338-5716 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1942818240 | Karla Marize Howard | Nurse Practitioner | 18980 W. Memorial Dr. Suite 100 Plaza 2, Humble, TX 77338 | 2020-07-22 |
| 1902437981 | Houston Mint Dentistry, Pllc | Dentist | 9509 Fm 1960 Ste 200, Humble, TX 77338 | 2020-01-29 |
| 1053957514 | Sherrie Conn | Technician | 20430 Moon Walk Dr, Humble, TX 77338 | 2019-11-20 |
| 1235772450 | Madeline Rigler | Dietitian, Registered | 18980 N Memorial Dr Ste 100, Humble, TX 77338 | 2019-10-21 |
| 1982254025 | Daira Lynn Springer | Registered Nurse | 18980 W Memorial Dr., Suite 100, Humble, TX 77338 | 2019-09-19 |
| 1306494687 | Strategic Development & Instruction | Counselor | 9802 Farm To Market 1960 Bypass, Humble, TX 77338 | 2019-08-29 |
| 1124689732 | Caroline Elizabeth Le | Dentist | 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 | 2019-06-25 |
| 1699246181 | Deerbrook Asc LLC | Clinic/Center | 18450 Hwy 59 Suite 101-b, Humble, TX 77338 | 2018-12-10 |
| 1760950141 | Mckay Health Care LLC | Skilled Nursing Facility | 19279 Mckay Dr., Humble, TX 77338 | 2018-11-05 |
| Find all providers in zip 77338 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821636564 | Radiant Dermatology Fall Creek Pllc | Physician Assistant | 9240 N Sam Houston Pkwy E, Ste 201, Humble, TX 77396 | 2019-12-12 |
| 1144672817 | Kira Moss | Physician Assistant | 18652 Mckay Blvd Ste. 100, Humble, TX 77338 | 2016-07-06 |
| 1336512771 | Danielle Delligatti | Physician Assistant | 18652 Mckay Dr Ste 100, Humble, TX 77338 | 2015-11-06 |
| 1023426061 | Ross Taylor | Physician Assistant | 19333 Hwy 59 N #145, Humble, TX 77338 | 2014-07-22 |
| 1417396391 | Pleasant Smith Emergency Physicians, Pllc | Physician Assistant | 9711 N Sam Houston Pkwy E, Humble, TX 77396-4482 | 2013-06-24 |
| 1295083343 | Rachel Lenette Kelley | Physician Assistant | 8330 N Sam Houston Pkwy E, #6107, Humble, TX 77396-3184 | 2012-08-21 |
| 1134400930 | Tianxiang Zhang | Physician Assistant | 3832 Atascocita Rd, Humble, TX 77396-3533 | 2011-09-07 |
| 1376844944 | Yoshida J Kirkwood | Physician Assistant | 14206 Red Creek Cove Ln, Humble, TX 77396-3389 | 2010-11-12 |
| 1093791493 | Jim Edward Mckinney | Physician Assistant | 6725 Atascocita Rd Ste A, Humble, TX 77346-2292 | 2005-12-16 |
| 1487202446 | Tuyetlan Vo | Physician Assistant | 19333 Highway 59 N Ste 145, Humble, TX 77338-4272 | 2019-09-03 |
| Find all providers in HUMBLE | ||||
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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.