KENNETH PODELL (NPI# 1811045404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811045404 |
Entity Type | Individual |
Full Name | KENNETH PODELL |
Credential | PH.D. |
Practice Address |
6560 Fannin St Ste 1840 Houston TX 77030-2734 |
Practice Telephone | 7134413780 |
Practice Fax Number | 7137906468 |
Mailing Telephone | (713) 441-3780 |
Mailing Fax Number | 7137906468 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
36351 | TX | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
6301010294 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CHAMPUS-CHAMPUS | KP010294 | 01 | |
BLUE CROSS-BLUE CROSS | 7509104450 | 01 | |
COMMERCIAL-COMMERCIAL NUMBER | KP010294 | 01 | |
TX | 310963902 | 05 | |
MI | PHD888810 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
Henry Ford Health System, One Ford Place 1f -behavioral, Detroit, MI 48202 | 3138766677 | 3138746650 |
Street Address |
6560 FANNIN ST STE 1840 |
City | HOUSTON |
State | TX |
Zip Code | 77030-2734 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043636681 | Deidre Duke | Specialist/Technologist | 6560 Fannin St Ste 1840, Houston, TX 77030-2761 | 2014-03-06 |
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 | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770195307 | Quor Health Iom LLC | Psychiatry & Neurology | 950 Threadneedle St Ste 120, Houston, TX 77079-2903 | 2020-08-17 |
1346560075 | Advanced Invasive Pain Management of Houston Pa | Psychiatry & Neurology | 2000 Crawford St Ste 1220, Houston, TX 77002-9089 | 2010-06-04 |
1457460677 | Meyer L. Proler Md and Associates Inc | Psychiatry & Neurology | 1001 Texas St, Suite 450, Houston, TX 77002-3182 | 2006-08-30 |
1346239910 | Meyer Leon Proler | Psychiatry & Neurology | 1001 Texas Street, Suite 450, Houston, TX 77002-3182 | 2005-10-17 |
1528566403 | Flourish Tms Center, LLC | Psychiatry & Neurology | 950 Echo Ln Ste 200, Houston, TX 77024-2822 | 2018-01-25 |
1144730730 | N20 Iom | Psychiatry & Neurology | 10330 Lake Rd Ste E, Houston, TX 77070-1696 | 2017-10-09 |
1033415088 | Texas One Health Inc | Psychiatry & Neurology | 9898 Bissonnet St, 550, Houston, TX 77036-8270 | 2011-02-08 |
1942497870 | Shaun Smart | Psychiatry & Neurology | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2007-09-25 |
1295935195 | Tracy Lynne Veramonti | Psychiatry & Neurology | 1515 Holcombe Blvd, Houston, TX 77030-4095 | 2007-07-19 |
1922218908 | Christopher Merkl Md Pa | Psychiatry & Neurology | 2116 Bissonnet St, Houston, TX 77005-1508 | 2007-05-22 |
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.