PREVITY SURGICAL CLEAR LAKE, PLLC (NPI# 1821471780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821471780 |
| Entity Type | Organization |
| Organization Name | PREVITY SURGICAL CLEAR LAKE, PLLC |
| Other Organization Name | PREVITY CLINIC FOR SURGICAL CARE |
| Practice Address |
250 Blossom St Suite 285 Webster TX 77598-4204 |
| Mailing Address |
740 Hospital Dr Suite 280 Beaumont TX 77701-4664 |
| Practice Telephone | 2814873313 |
| Practice Fax Number | 2814873316 |
| Mailing Telephone | 4098359500 |
| Mailing Fax Number | 4098350098 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | DR. GARRETT KEITH PEEL (OWNER) |
| Authorized Official Telephone | 4098359500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PREVITY SURGICAL, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Previty Clinic for Surgical Care | Doing Business As Name - Organization |
| Street Address |
250 BLOSSOM ST SUITE 285 |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232461 | Conrad Alexander Fischer | Orthopaedic Surgery | 250 Blossom St, Ste 230, Webster, TX 77598-4241 | 2005-06-01 |
| 1831710086 | University of Texas Medical Branch At Galveston | Durable Medical Equipment & Medical Supplies | 250 Blossom St, Ste 105, Webster, TX 77598 | 2020-04-29 |
| 1164973848 | Sara Steinocher | Physical Therapist | 250 Blossom St, Suite 240, Webster, TX 77598-4204 | 2016-10-18 |
| 1598134108 | Katie R Burdett | Physical Therapist | 250 Blossom St, # 240, Webster, TX 77598-4204 | 2015-09-24 |
| 1558755611 | Slainte Inc. | General Practice | 250 Blossom St, Ste 310, Webster, TX 77598-4204 | 2015-03-26 |
| 1821495599 | Bay Area Women's Specialists, Pllc | Obstetrics & Gynecology | 250 Blossom St, Suite 350, Webster, TX 77598-4204 | 2014-11-25 |
| 1609270800 | Blossom Management LLC | Pharmacy | 250 Blossom St, Ste 105, Webster, TX 77598-4204 | 2014-10-17 |
| 1952675290 | Nasa Surgical Suite, LLC | Clinic/Center | 250 Blossom St, Suite 120b, Webster, TX 77598-4204 | 2012-03-05 |
| 1750668547 | Conrad A Fischer Md Pa | Orthopaedic Surgery | 250 Blossom St, Suite 230, Webster, TX 77598-4204 | 2011-11-08 |
| 1841588605 | Amy R. Jacobs | Nurse Practitioner | 250 Blossom St, Suite 350, Webster, TX 77598-4204 | 2011-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119814 | Jane F Beamish | Specialist | 523 Wildwood Trl, Webster, NY 14580-1140 | 2019-02-11 |
| 1457712317 | Alisha Brandon | Specialist | 887 Independence Dr, Webster, NY 14580-2660 | 2016-03-18 |
| 1457764615 | Erin Kramer | Specialist | 907 Copperkettle Road, Webster, NY 14580 | 2014-06-05 |
| 1144669623 | Fla Co, Ltd | Specialist | 450 W Medical Center Blvd Ste 206, Webster, TX 77598-4229 | 2013-06-18 |
| 1366789265 | Generational Women's Health Pa | Specialist | 251 W Medical Center Blvd Ste 300, Webster, TX 77598-4246 | 2013-01-11 |
| 1962752535 | Robert W Farrell Md Pa | Specialist | 450 Blossom St. Suite G, Webster, TX 77598 | 2012-09-11 |
| 1497019038 | Suzanne E Mason | Specialist | 1366 Viking Cir, Webster, NY 14580-8544 | 2012-06-28 |
| 1003179227 | Joanne Marie Lamonica | Specialist | 630 Hills Pond Rd, Webster, NY 14580-4033 | 2012-06-21 |
| 1811257819 | Megan Howell | Specialist | 1456 Ridge Rd, Webster, NY 14580-3619 | 2012-05-23 |
| 1962709733 | Ethan Leo Welch | Specialist | 656 Admiralty Way, Webster, NY 14580-3904 | 2011-02-14 |
| Find all providers in WEBSTER | ||||
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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.