JUDSON MALCOME SEVERSON (NPI# 1801093877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801093877 |
| Entity Type | Individual |
| Full Name | JUDSON MALCOME SEVERSON |
| Credential | D.O. |
| Practice Address |
1700 University Dr E College Station TX 77840-2661 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 9796913300 |
| Practice Fax Number | 9796913527 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
M3384 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS# | 8DE548 | 01 |
| TX | RAILROAD MEDICARE # | P00799975 | 01 |
| TX | 198296903 | 05 | |
| TX | 198296908 | 05 | |
| TX | 198296904 | 05 | |
| TX | 198296905 | 05 |
| Street Address |
1700 UNIVERSITY DR E |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982692448 | Karen Diane Maness | Family Medicine | 1700 University Dr E, College Station, TX 77840-2661 | 2005-10-10 |
| 1588273171 | Meghan Ashley Martin | Registered Nurse | 1700 University Dr E, College Station, TX 77840-2661 | 2020-07-29 |
| 1730611807 | Elaine Lanphere | Pediatrics | 1700 University Dr E, College Station, TX 77840-2661 | 2017-03-29 |
| 1912455460 | William Gerald Gaines Jr. | Internal Medicine | 1700 University Dr E, College Station, TX 77840-2661 | 2016-09-13 |
| 1144673104 | Sandra Soenning | Psychologist | 1700 University Dr E, College Station, TX 77840-2661 | 2016-07-14 |
| 1699147181 | Deena Kothmann | Nurse Practitioner | 1700 University Dr E, College Station, TX 77840-2661 | 2015-10-23 |
| 1679953749 | Stephanie Dewsnap | Family Medicine | 1700 University Dr E, College Station, TX 77840 | 2015-06-04 |
| 1215315064 | Morgan Hines | Family Medicine | 1700 University Dr E, College Station, TX 77840 | 2015-05-13 |
| 1912390642 | Jamyl Walker | Nurse Practitioner | 1700 University Dr E, College Station, TX 77840-2661 | 2015-03-04 |
| 1578954327 | Shafia Naeem | Physician Assistant | 1700 University Dr E, College Station, TX 77840-2661 | 2015-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922054592 | Brazos Valley Nephrology | Internal Medicine | 1602 Rock Prairie Rd, Suite 2200, College Station, TX 77845-8306 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
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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.