DR. CHRISTOPHER DANIEL FEDORUK (NPI# 1790899953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790899953 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER DANIEL FEDORUK |
| Credential | MD |
| Practice Address |
18951 N Memorial Dr Humble TX 77338-4217 |
| Mailing Address |
33910 Thousand Oak Blvd Magnolia TX 77354-6268 |
| Practice Telephone | 2815406453 |
| Practice Fax Number | 2815407393 |
| Mailing Telephone | 2812597286 |
| Mailing Fax Number | 2812597286 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2009-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | M0719 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 173969001 | 05 | |
| TX | 173969003 | 05 | |
| TX | 173969005 | 05 | |
| TX | 173969002 | 05 | |
| TX | BCBSTX PROVIDER NO | 8AC843 | 01 |
| Street Address |
18951 N MEMORIAL DR |
| City | HUMBLE |
| State | TX |
| Zip Code | 77338-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459311 | Craig A Lehman | Radiology | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2005-10-05 |
| 1326670241 | Tam Minh Nguyen | Pharmacist | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2020-02-08 |
| 1649820747 | Mayra Romero | Registered Nurse | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2019-09-19 |
| 1376021998 | Hospitalist Medicine Physicians of Texas - Humble, Pllc | Internal Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2018-08-06 |
| 1407381775 | Atul Gupta | Family Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2017-04-25 |
| 1477093185 | Melina Montes-elliott | Nurse Practitioner | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2017-02-28 |
| 1437538675 | Michael Arquisola | Internal Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2015-05-20 |
| 1790163764 | Clayton Okpara | Internal Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2015-05-11 |
| 1508251307 | Ryan Trull | Nurse Practitioner | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2015-03-30 |
| 1730574625 | Monica Noori | Emergency Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2015-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1942818240 | Karla Marize Howard | Nurse Practitioner | 18980 W. Memorial Dr. Suite 100 Plaza 2, Humble, TX 77338 | 2020-07-22 |
| 1902437981 | Houston Mint Dentistry, Pllc | Dentist | 9509 Fm 1960 Ste 200, Humble, TX 77338 | 2020-01-29 |
| 1053957514 | Sherrie Conn | Technician | 20430 Moon Walk Dr, Humble, TX 77338 | 2019-11-20 |
| 1235772450 | Madeline Rigler | Dietitian, Registered | 18980 N Memorial Dr Ste 100, Humble, TX 77338 | 2019-10-21 |
| 1982254025 | Daira Lynn Springer | Registered Nurse | 18980 W Memorial Dr., Suite 100, Humble, TX 77338 | 2019-09-19 |
| 1306494687 | Strategic Development & Instruction | Counselor | 9802 Farm To Market 1960 Bypass, Humble, TX 77338 | 2019-08-29 |
| 1124689732 | Caroline Elizabeth Le | Dentist | 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 | 2019-06-25 |
| 1699246181 | Deerbrook Asc LLC | Clinic/Center | 18450 Hwy 59 Suite 101-b, Humble, TX 77338 | 2018-12-10 |
| 1760950141 | Mckay Health Care LLC | Skilled Nursing Facility | 19279 Mckay Dr., Humble, TX 77338 | 2018-11-05 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819479 | Atascocita Emergency Center, LLC | Emergency Medicine | 5324 Atascocita Rd Ste T, Humble, TX 77346-2971 | 2020-07-30 |
| 1285980235 | Stephen Alexander Coffman | Emergency Medicine | 5324 Atascocita Rd, Humble, TX 77346-2970 | 2012-07-27 |
| 1235175472 | Sherry Rena Cameron-berry | Emergency Medicine | 19726 Bambiwoods Ct, Humble, TX 77346-1233 | 2006-06-22 |
| 1356321509 | James M Piccione | Emergency Medicine | 6818 Auburn Oak Trl, Humble, TX 77346-1366 | 2006-01-21 |
| 1720067382 | James M Shaw | Emergency Medicine | 3111 River Valley Dr, Humble, TX 77339-1943 | 2006-01-12 |
| 1750388294 | Chad Burch | Emergency Medicine | 18652 Mckay Dr, Humble, TX 77338-5716 | 2005-06-30 |
| 1720459753 | Compass Point Emergency Physicians, Pllc | Emergency Medicine | 9711 N Sam Houston Pkwy E, Humble, TX 77396-4482 | 2015-10-16 |
| 1730574625 | Monica Noori | Emergency Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2015-03-30 |
| 1316352628 | Thomas Craig Segerson | Emergency Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2014-06-25 |
| 1083039911 | Nimesh Amin | Emergency Medicine | 18951 N Memorial Dr, Humble, TX 77338-4217 | 2014-03-01 |
| Find all providers in HUMBLE | ||||
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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.