DR. PENNY FANG (NPI# 1790198737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790198737 |
| Entity Type | Individual |
| Full Name | DR. PENNY FANG |
| Credential | M.D., MBA |
| Practice Address |
1515 Holcombe Blvd Houston TX 77030 |
| Mailing Address |
P O Box 4439 Houston TX 77210-4439 |
| Practice Telephone | 7137926161 |
| Mailing Telephone | 7137922991 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
S2767 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8LP967 | 01 |
| TX | 402260001 | 05 | |
| TX | CSHCN (MEDICAID) | 402260002 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5841 S Maryland Ave, Mc 7082, Chicago, IL 606371447 | 7737026840 | 7737022230 |
| Street Address |
1515 HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102126 | Najat Daw Bitar | Pediatrics | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2005-05-23 |
| 1447851852 | Jamie Dockery | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-11-03 |
| 1912507138 | Evelin Lidiet Umanzor | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-27 |
| 1285232447 | Federico A Oppliger Boettcher | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-10 |
| 1043817026 | Lovette Noble Alegado | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-03 |
| 1578179297 | Reem Karami | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-09-17 |
| 1093328973 | Shaun Brian Tindall II | Nurse Anesthetist, Certified Registered | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-28 |
| 1649882879 | Luana Guimaraes De Sousa | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-19 |
| 1225648934 | Karizza J Cruz | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-06 |
| 1023628377 | Damaris Masila | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-02 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232090 | Yaser Hasan | Radiology | 1911 Holcombe Blvd Apt 1615, Houston, TX 77030-4190 | 2019-08-29 |
| 1932557030 | Joseph Charles Arko | Radiology | 11532 Champions Green Dr, Houston, TX 77066-1070 | 2016-05-30 |
| 1548660186 | Century West Houston Pllc | Radiology | 2610 W Sam Houston Pkwy S, Houston, TX 77042-0008 | 2014-09-02 |
| 1285999698 | Robert Dery Lindberg | Radiology | 3757 Robinhood St, Houston, TX 77005-2027 | 2012-07-11 |
| 1629332770 | Twisha Chakravarty Verma | Radiology | 18100 Saint John Dr Ste 150, Houston, TX 77058-4600 | 2012-07-03 |
| 1619238250 | Kristina Demas Woodhouse | Radiology | 1515 Holcombe Blvd Unit 97, Houston, TX 77030-4000 | 2012-05-30 |
| 1265792857 | Albert C Chen | Radiology | 11950 Old Galveston Rd Ste 101, Houston, TX 77034-4856 | 2012-05-17 |
| 1679864607 | Greater Expert Medical Physicians | Radiology | 2000 Bagby St, #13430, Houston, TX 77002-8587 | 2011-04-25 |
| 1124327242 | Henry Mok | Radiology | 1515 Holcombe Blvd Unit 1422, Houston, TX 77030-4000 | 2011-03-16 |
| 1912220849 | Precision Radiotherapy Center, Lp | Radiology | 11950 Galveston Rd, Houston, TX 77034-4855 | 2010-03-06 |
| 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.