DR. SHAWN MATHUR (NPI# 1760828586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760828586 |
Entity Type | Individual |
Full Name | DR. SHAWN MATHUR |
Credential | M.D. |
Practice Address |
17903 W Lake Houston Pkwy Ste 201 Humble TX 77346 |
Mailing Address |
17903 W Lake Houston Pkwy Ste 201 Humble TX 77346-3954 |
Practice Telephone | 2818121846 |
Practice Fax Number | 2818122778 |
Mailing Telephone | 2818121846 |
Mailing Fax Number | 2818122778 |
Enumeration Date | 2013-05-20 |
Last Update Date | 2018-08-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | R6827 | TX | Allopathic & Osteopathic Physicians |
Y | 208800000X | Urology | R6827 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS MEDICAL LICENSE | R6827 | 01 |
Street Address |
17903 W LAKE HOUSTON PKWY STE 201 |
City | HUMBLE |
State | TX |
Zip Code | 77346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184814493 | Fabiana Ziegler Farinetti | Internal Medicine | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346-3954 | 2007-08-01 |
1134778624 | Ashley E Davis | Nurse Practitioner | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346-3954 | 2019-09-06 |
1104307990 | Faris Kayssi | Nurse Practitioner | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346-3954 | 2018-08-28 |
1598100703 | Sarah Ali Kazzaz | Internal Medicine | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346 | 2013-05-01 |
1700229234 | Sanjay S Lulla | Internal Medicine | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346 | 2013-04-15 |
1861751117 | Edward John Sanchez Jr. | Surgery | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346 | 2012-05-07 |
1477849461 | Kevin Nnaemeka Oguayo | Internal Medicine | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346-3954 | 2011-06-28 |
1790078079 | Lamin Bangura | Internal Medicine | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346 | 2011-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
1770953408 | Alliance Mri Lake Houston, LLC | Clinic/Center | 5514 Atascocita Road, Suite 180, Humble, TX 77346 | 2015-10-07 |
1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
Find all providers in zip 77346 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174801831 | Precision Urology Associates, Pa | Urology | 8811 Fm 1960 Bypass Rd W, Suite 300, Humble, TX 77338-3951 | 2011-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
1649780453 | Paul Bradley Md Pllc | Urology | 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 | 2017-10-06 |
1154857977 | Darren M. Chapman M.d., Pllc | Urology | 10970 Shadow Creek Pkwy # 255, Pearland, TX 77584-0100 | 2017-05-11 |
1114308467 | Kashyap Shatagopam | Urology | 1900 Scenic Dr Ste 2222, Georgetown, TX 78626-7703 | 2015-06-12 |
1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
1366853152 | Lawrence Tsai | Urology | 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 | 2014-05-14 |
1558780031 | Rachel Sosland | Urology | 4207 James Casey St Ste 107, Austin, TX 78745-1192 | 2014-04-10 |
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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.