AVICENNA MEDICAL ASSOCIATES (NPI# 1841436763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841436763 |
| Entity Type | Organization |
| Organization Name | AVICENNA MEDICAL ASSOCIATES |
| Practice Address |
504 Medical Center Blvd Conroe TX 77304-2808 |
| Mailing Address |
Po Box 132921 Spring TX 77393-2921 |
| Practice Telephone | 8553725454 |
| Practice Fax Number | 2814084108 |
| Mailing Telephone | 8553725454 |
| Mailing Fax Number | 9365854657 |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2011-08-19 |
| Authorized Official Name | DR. MUJTABA ALI-KHAN (OWNER) |
| Authorized Official Telephone | 8553725454 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | M3450 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
504 MEDICAL CENTER BLVD |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395214 | Dawna Lavina Armstrong | Pathology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2005-06-13 |
| 1699384792 | Susan Kae Wooden | Nurse Practitioner | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2020-07-24 |
| 1811522204 | Ashley Hudson | Anesthesiologist Assistant | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2020-03-06 |
| 1609421593 | Ambient Anesthesia | Anesthesiology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-08-07 |
| 1154975233 | Kristina Brown | Dietitian, Registered | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-07-28 |
| 1437617768 | Julie M Quinn | Physical Medicine & Rehabilitation | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-03-05 |
| 1245798602 | Samuel Loera Diaz | Specialist/Technologist, Other | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-03-05 |
| 1144787136 | Leyla Aileen M Lastra | Specialist/Technologist, Other | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-02-26 |
| 1619491834 | Edmund Byron Webster Iv | Physician Assistant | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2017-07-30 |
| 1871034488 | Montgomery Orthopedic Care Specialists Pllc | Surgery | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2017-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323412 | Dimas Med LLC | Hospitalist | 31313 Fm 506, La Feria, TX 78559-6131 | 2020-07-22 |
| 1659992568 | Aa Health Pllc | Hospitalist | 23119 W Interstate 10 Bldg 904, San Antonio, TX 78257-1767 | 2020-05-01 |
| 1295363497 | Memorial Hermann Hospital Based Physician Group | Hospitalist | 929 Gessner Rd Ste 2700, Houston, TX 77024-2593 | 2020-04-01 |
| 1972134617 | Harriscare Medical Group Pllc | Hospitalist | 220 Blanco Street, Lumberton, TX 77657 | 2020-01-31 |
| 1568006328 | Pac Physicians Pllc | Hospitalist | 18731 Millhollow, San Antonio, TX 78258-4256 | 2019-11-04 |
| 1790328979 | Manali Healthcare Pllc | Hospitalist | 6913 Camp Bowie Blvd Ste 171, Fort Worth, TX 76116-7165 | 2019-10-21 |
| 1427601814 | Inayah Healthcare LLC | Hospitalist | 707 N. Waldrip Street, Grand Saline, TX 75140 | 2019-07-24 |
| 1043877384 | Samantha Marie Morgan | Hospitalist | 923 College Ave Ste 103, Fort Worth, TX 76104-3051 | 2019-05-22 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1912482167 | Premier Hospitalists, Pllc | Hospitalist | 1601 W. Trenton Rd Suite L, Mcallen, TX 78503 | 2018-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AVICENNA MEDICAL ASSOCIATES.
| 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.