BERKELEY HEALTH CENTER (NPI# 1770992109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770992109 |
| Entity Type | Organization |
| Organization Name | BERKELEY HEALTH CENTER |
| Practice Address |
2802 Garth Rd Suite 307 Baytown TX 77521-3900 |
| Practice Telephone | 9859602575 |
| Practice Fax Number | 8776312501 |
| Mailing Telephone | 9859602575 |
| Mailing Fax Number | 8776312501 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |
| Authorized Official Name | MRS. ANGELA MARIE JACKSON (OWNER) |
| Authorized Official Telephone | 9859602575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
2802 GARTH RD SUITE 307 |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587889 | Shahina Q Ali | Family Medicine | 2802 Garth Rd, Ste 111, Baytown, TX 77521 | 2005-12-05 |
| 1689135923 | Aretha Pascual | Nurse Practitioner | 2802 Garth Rd, Baytown, TX 77521-3900 | 2019-03-28 |
| 1568847846 | Amy Elise Parish | Physical Therapy Assistant | 2802 Garth Rd, Baytown, TX 77521-3900 | 2015-07-28 |
| 1285977652 | Rachelle P Baum | Physical Therapist | 2802 Garth Rd, Suite 110, Baytown, TX 77521-3900 | 2013-04-03 |
| 1497098040 | Concept Physical Therapy LLC | Clinic/Center | 2802 Garth Rd, Suite 110, Baytown, TX 77521-3900 | 2013-04-02 |
| 1336406511 | Yassir Ashraf, M.d., Pa | Internal Medicine | 2802 Garth Rd, Suite 115, Baytown, TX 77521-3900 | 2012-04-12 |
| 1720368897 | One Source Medic-clinic, P.a. | Family Medicine | 2802 Garth Rd, Suite 211, Baytown, TX 77521-3900 | 2011-08-22 |
| 1063742039 | Physicians Diversified Group, P.a. | Anesthesiology | 2802 Garth Rd, 110, Baytown, TX 77521-3900 | 2010-01-13 |
| 1750536074 | Amir Nabil Saad | Dentist | 2802 Garth Rd, Ste 303, Baytown, TX 77521-3900 | 2008-12-01 |
| 1760639934 | Bufford D Moore Md Pa | Plastic Surgery | 2802 Garth Rd, Ste 301, Baytown, TX 77521-3900 | 2008-08-19 |
| Find all providers in the same location | ||||
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750618070 | Khan and Mujeeb Pllc | Clinic/Center | 1658 West Baker Rd, Baytown, TX 77521 | 2009-11-06 |
| 1912977158 | First Family Medicine Association | Clinic/Center | 1010 W Baker Rd, Suite 105, Baytown, TX 77521-2382 | 2006-01-23 |
| 1124356753 | Premiercare Family Clinic | Clinic/Center | 1010 W Baker Rd, #102, Baytown, TX 77521-2382 | 2009-11-19 |
| 1639359466 | Baytown Occupational & Family Medicine P.a. | Clinic/Center | 4002 Garth Road, Suite 150, Baytown, TX 77521-3114 | 2007-11-09 |
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| 1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
| 1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
| 1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
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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.