PREMIER GENERAL AND COLORECTAL SURGERY, PA (NPI# 1760738207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760738207 |
| Entity Type | Organization |
| Organization Name | PREMIER GENERAL AND COLORECTAL SURGERY, PA |
| Practice Address |
17115 Red Oak Dr Suite 211 Houston TX 77090-2641 |
| Mailing Address |
1544 Sawdust Rd Suite 180 Spring TX 77380-2929 |
| Practice Telephone | 8323032922 |
| Practice Fax Number | 2817818637 |
| Mailing Telephone | 2812927411 |
| Mailing Fax Number | 2812927481 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |
| Authorized Official Name | KENT OLSAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2812927411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | N3791 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FK1029291 | 01 | |
| DPS | K0169364 | 01 | |
| LICENSE | N3791 | 01 |
| Street Address |
17115 RED OAK DR SUITE 211 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638676 | Naila Yunus Soorty | Pediatrics | 17115 Red Oak Dr, Suite 120, Houston, TX 77090-2641 | 2005-06-13 |
| 1992257828 | Elizabeth Macshadiya | Nurse Practitioner | 17115 Red Oak Dr, #109, Houston, TX 77090-2641 | 2016-10-26 |
| 1235512682 | Purple Gator, LLC | Podiatrist | 17115 Red Oak Dr, Suite 218, Houston, TX 77090-2641 | 2015-07-02 |
| 1558603068 | Jimmy P. Sethna | Clinical Neuropsychologist | 17115 Red Oak Dr, Suite 220, Houston, TX 77090-2641 | 2013-03-22 |
| 1053653568 | Sethna Psych Associates, P.a. | Clinical Neuropsychologist | 17115 Red Oak Dr, Suite 220, Houston, TX 77090-2641 | 2013-03-22 |
| 1568724235 | Tamar Brionez Md Pa | Internal Medicine | 17115 Red Oak Dr, 210, Houston, TX 77090-2641 | 2012-06-08 |
| 1427318856 | Pride Parker | Hearing Instrument Specialist | 17115 Red Oak Dr, Suite 123, Houston, TX 77090-2641 | 2012-05-18 |
| 1023395183 | North Houston Cardiology Pllc | Internal Medicine | 17115 Red Oak Dr, Suite 121, Houston, TX 77090-2641 | 2011-11-03 |
| 1841572344 | Christina King Rowley | Physician Assistant | 17115 Red Oak Dr, Ste 210, Houston, TX 77090-2641 | 2011-09-12 |
| 1720380421 | Jerri P Sethna Md Pa | Psychiatry & Neurology | 17115 Red Oak Dr, Suite 116, Houston, TX 77090-2641 | 2010-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949152 | Angelica Rosas-torres | Specialist | 9810 Brick Village Dr, Houston, TX 77095-5072 | 2020-07-16 |
| 1689202004 | Bayou Surgical Assistants Inc | Specialist | 121 N Post Oak Ln Apt 2204, Houston, TX 77024-7717 | 2020-03-31 |
| 1588290761 | Jim Gigante | Specialist | 5607 Fountainbridge Ln, Houston, TX 77069-1917 | 2020-03-19 |
| 1043840044 | Valerie Pedraza | Specialist | 9802d Ella Blvd, Houston, TX 77038-3030 | 2020-01-19 |
| 1386200178 | Thaddieus A Reed | Specialist | 3605 Wilmington St, Houston, TX 77051-3248 | 2019-05-16 |
| 1437617545 | Wellness Institute of Neurodevelopment | Specialist | 5757 Woodway Dr Ste 190, Houston, TX 77057-1526 | 2019-03-07 |
| 1275098568 | Idoc Virtual Telehealth Texas | Specialist | 2311 W Main St, Houston, TX 77098-3218 | 2019-01-31 |
| 1326531708 | Houston Neurology Clinical & Diagnostic Consultants Company | Specialist | 1313 La Concha Ln Ste 130, Houston, TX 77054-1809 | 2018-06-11 |
| 1154840908 | Webster Diagnostics, Pllc | Specialist | 18333 Egret Bay Blvd Ste 200, Houston, TX 77058-3200 | 2017-09-13 |
| 1093242166 | Cns Medical Group | Specialist | 6238 Rietta St, Houston, TX 77016-4338 | 2017-05-18 |
| Find all providers in HOUSTON | ||||
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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.