UTMB (NPI# 1811394208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811394208 |
| Entity Type | Organization |
| Organization Name | UTMB |
| Practice Address |
2350 Atascocita Rd Humble TX 77396-3503 |
| Practice Telephone | 2814545036 |
| Mailing Telephone | 2814545036 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |
| Authorized Official Name | MR. ERIC WILSON JOHNSON (UNIT HEALTH AUTHORTHY) |
| Authorized Official Telephone | 2814545036 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | PA00673 | TX | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831318781 | Utmb | Special Hospital | 515 1st St, #330, Galveston, TX 77550-5769 | 2007-04-25 |
| 1295281350 | Utmb | Clinic/Center | 301 University Blvd, Galveston, TX 77555-5302 | 2016-08-29 |
| 1497105084 | Utmb | Nurse Practitioner | 3060 Fm 3514, Medical Department - Ms. Adodo, Beaumont, TX 77705-7635 | 2016-06-15 |
| 1568869063 | Utmb | General Acute Care Hospital | 301 University Blvd, Galveston, TX 77555-0587 | 2014-11-26 |
| 1487059077 | Utmb | Health Maintenance Organization | 1500 E Langdon Rd, Dallas, TX 75241-7136 | 2014-10-27 |
| 1063821981 | Utmb | Clinic/Center | 12603 Southwest Fwy Ste 335, Stafford, TX 77477-3842 | 2014-08-05 |
| 1386923670 | Utmb | General Acute Care Hospital | 301 University Blvd, Jsa 9.128. Dept of Neurology, Galveston, TX 77555-0539 | 2011-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UTMB | 301 University Blvd, Galveston, TX 77555-5302 |
| Street Address |
2350 ATASCOCITA RD |
| City | HUMBLE |
| State | TX |
| Zip Code | 77396-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548570328 | Shelna Sibi | Nurse Practitioner | 2350 Atascocita Rd, Humble, TX 77396-3503 | 2010-10-14 |
| 1508321878 | Dana Sherman Thompson | Physician Assistant | 2350 Atascocita Rd, Humble, TX 77396-3503 | 2019-01-31 |
| 1255739595 | Leland Wilson Crosby | Physician Assistant | 2350 Atascocita Rd, Pam Lychner State Jail, Humble, TX 77396-3503 | 2014-12-19 |
| 1649679713 | Jean Poskus | Dentist | 2350 Atascocita Rd, Humble, TX 77396-3503 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361570 | Lawanza L Nelms | Registered Nurse | 9519 Cimarroncito Ln, Humble, TX 77396 | 2020-09-23 |
| 1821636564 | Radiant Dermatology Fall Creek Pllc | Physician Assistant | 9240 N Sam Houston Pkwy E, Ste 201, Humble, TX 77396 | 2019-12-12 |
| 1952806002 | Adonna Weaver | Counselor | 9659 N. Sam Houston Parkway East, Suite 150 #324, Humble, TX 77396 | 2018-03-29 |
| 1710439484 | Simpke LLC | Chiropractor | 9303 Water Edge Point Lane, Humble, TX 77396 | 2016-10-28 |
| 1619338027 | Christopher Daniel Roundy | Chiropractor | 11347 N Sam Houston Pkwy E, Humble, TX 77396 | 2016-03-11 |
| 1992198923 | F. C. Behavioral Health, Pllc | Clinic/Center | 17810 Spring Tree Drive, Humble, TX 77396 | 2015-03-16 |
| 1417378688 | Menard's Tranportation | Private Vehicle | 15815 Murrelet Ct, Humble, TX 77396 | 2013-12-13 |
| 1124383195 | Tammie M. Thibodeaux | Dentist | 11501 North Sam Houston Parkway East, Suite C, Humble, TX 77396 | 2012-07-05 |
| 1528373271 | Summer Creek Physicians, Pllc | Family Medicine | 11501 North Sam Houston East Pkwy, Suite B, Humble, TX 77396 | 2010-08-18 |
| 1033347752 | Susmitha Jasti | Dentist | 4801 Wilson Road, Ste 200, Humble, TX 77396 | 2009-07-01 |
| Find all providers in zip 77396 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215486352 | Hands for Hospice | Point of Service | 411 S Bender Ave, #2604, Humble, TX 77338-4371 | 2016-09-30 |
| 1033557434 | Dreamcatchers Therapy & Wellness Services, Pllc | Point of Service | 2002 Rotary Dr # 2, Humble, TX 77338-5358 | 2013-06-06 |
| 1083912133 | Tsb Consulting | Point of Service | 1906 Treble Dr Ste 13, Humble, TX 77338-5284 | 2011-03-14 |
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|---|---|---|---|---|
| 1669079174 | Matrix Medical Assistants, Pllc | Point of Service | 4518 Irvin Simmons Dr, Dallas, TX 75229-4249 | 2020-10-07 |
| 1194331660 | Veteran Mobile Labs, Pllc | Point of Service | 1633 Sora Way, El Paso, TX 79911-3053 | 2020-09-21 |
| 1881217149 | B&d Health Management Services | Point of Service | 100 Allentown Pkwy Ste 214, Allen, TX 75002-4220 | 2020-05-21 |
| 1912561952 | Pink Vanity Beauty Bar LLC | Point of Service | 16990 Dallas Pkwy Ste 208, Dallas, TX 75248-1935 | 2019-04-25 |
| 1265990428 | Ahsan Ansari | Point of Service | 11811 Matagorda Ln, Sugar Land, TX 77498-4640 | 2019-03-06 |
| 1639634512 | Agape Love International Foundation | Point of Service | 11614 Welshpool Glen Dr, Houston, TX 77066-4621 | 2019-02-05 |
| 1669946380 | Ahmed Mirza Fnp-c, Pllc | Point of Service | 17913 Crimson Apple Way, Pflugerville, TX 78660-2423 | 2019-01-15 |
| 1891269890 | Arauco Medical Consultants | Point of Service | 400 N Saint Paul St Ste 1200, Dallas, TX 75201-6869 | 2019-01-14 |
| 1871077446 | Novacure Group, LLC | Point of Service | 5161 San Felipe St Ste 320-18, Houston, TX 77056-3633 | 2018-09-19 |
| 1114423399 | David Rutledge Bell | Point of Service | 7301 N Ranch Road 620 Ste 155-184n, Austin, TX 78726-4539 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.