DR. ANGIE LEIGH STALLER (NPI# 1790195907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790195907 |
| Entity Type | Individual |
| Full Name | DR. ANGIE LEIGH STALLER |
| Other Name | ANGIE LEIGH BUSCH |
| Credential | M.D |
| Practice Address |
6410 Fannin St Ste 420 Houston TX 77030-3007 |
| Mailing Address |
5735 Cheltenham Dr Houston TX 77096-2929 |
| Practice Telephone | 8323257280 |
| Practice Fax Number | 7135127104 |
| Mailing Telephone | 2816868696 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | S1284 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6410 FANNIN ST STE 420 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902232846 | Hajar Ayoub | Urology | 6410 Fannin St Ste 420, Uthealth Urology Physicians, Houston, TX 77030-3007 | 2013-09-24 |
| 1487274023 | Kristen Brooke Slaughter | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 420, Houston, TX 77030-3007 | 2020-04-23 |
| 1104445907 | Alex Jeffrey Leonard | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 420, Houston, TX 77030-3007 | 2020-04-11 |
| 1538788732 | Dylan Nicole Supak | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 420, Houston, TX 77030-3007 | 2020-04-09 |
| 1285193516 | Kyle Blum | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 420, Houston, TX 77030-3007 | 2019-03-16 |
| 1124502323 | Michael Owyong | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 420, Houston, TX 77030 | 2018-09-24 |
| 1215425871 | Phillip Boyd Mann Jr. | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 420, Houston, TX 77030-3007 | 2018-04-28 |
| 1407353055 | Dustin C Luse | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 420, Houston, TX 77030-3007 | 2018-04-10 |
| 1144725110 | Yurong Mai | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 420, Houston, TX 77030-3007 | 2018-03-29 |
| 1124556972 | Albert Geskin | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 420, Houston, TX 77030-3007 | 2017-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| 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 |
|---|---|---|---|---|
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1922425230 | Boston Medical Group - Texas, P.a. | Urology | 1776 Yorktown St Ste 110, Houston, TX 77056-4138 | 2014-03-25 |
| 1902232846 | Hajar Ayoub | Urology | 6410 Fannin St Ste 420, Uthealth Urology Physicians, Houston, TX 77030-3007 | 2013-09-24 |
| 1326389941 | Harvey Lawrence Gordon | Urology | 1401 Calumet St, Unit #512, Houston, TX 77004-7157 | 2013-03-06 |
| 1619230869 | Jonathan Clavell Hernandez | Urology | 1315 St Joseph Pkwy Ste 1700, Houston, TX 77002-8232 | 2012-06-22 |
| 1528327715 | Alberto Christian Pieretti | Urology | 1515 Holcombe Blvd Unit 1373, Houston, TX 77030-4000 | 2012-05-09 |
| 1437417490 | Demetrio Tagaropules M.d., P.a. | Urology | 820 Richmond Ave, Houston, TX 77006-5514 | 2012-04-27 |
| 1831469428 | John Mathis Baird | Urology | 1201bering Dr., #75, Houston, TX 77057-2308 | 2012-01-12 |
| 1043540149 | Kumaran Sathyamoorthy | Urology | 2204 Bellefontaine St, Houston, TX 77030-3202 | 2010-01-12 |
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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.