CLEAR LAKE NEPHROLOGY, PLLC (NPI# 1861970758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861970758 |
| Entity Type | Organization |
| Organization Name | CLEAR LAKE NEPHROLOGY, PLLC |
| Practice Address |
500 W Medical Center Blvd Webster TX 77598-4220 |
| Mailing Address |
Po Box 57907 Webster TX 77598-7907 |
| Practice Telephone | 2819428001 |
| Practice Fax Number | 2817241919 |
| Mailing Telephone | 2819428001 |
| Mailing Fax Number | 2817241919 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | NADIA NIAZI (MEMBER / MANAGER) |
| Authorized Official Telephone | 6464043018 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
500 W MEDICAL CENTER BLVD |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921905 | Ali Moussaoui | Psychiatry & Neurology | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2005-06-09 |
| 1881203982 | Abigail Christine Bessire | Registered Nurse | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2020-07-24 |
| 1972132298 | Elizabeth R Frank | Speech-Language Pathologist | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2020-04-07 |
| 1013550573 | Eliana Victoria Jimenez | Nurse Practitioner | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2019-10-28 |
| 1982269676 | Amanda Lee Horelica | Nurse Practitioner | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2019-05-08 |
| 1669036323 | Shaheda Nia Moore | Nurse Practitioner | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2019-04-29 |
| 1679032338 | Mays Surgical Associates Psc | Surgery | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2019-03-12 |
| 1861972978 | Mohammad Abotteen | Pharmacist | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2018-08-17 |
| 1528558236 | Lone Star Intensivists At Gulf Coast, Pllc | Internal Medicine | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2018-05-17 |
| 1154831956 | Catelyn Rose Knowlton | Family Medicine | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2017-10-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1831145184 | Center for Hypertension & Kidney Care Pa | Internal Medicine | 200 W Medical Center Blvd Ste 101, Webster, TX 77598-4224 | 2006-05-26 |
| 1942694146 | Kidney Hypertension Transplant Clinic of Clear Lake Pllc | Internal Medicine | 500 N Kobayashi Ste A, Webster, TX 77598-4722 | 2015-03-25 |
| 1912327453 | Chau M Vu M D P A | Internal Medicine | 1567 Live Oak St, Suite A, Webster, TX 77598-4154 | 2014-04-23 |
| 1699041608 | Rohan Patankar | Internal Medicine | 560 Blossom St Ste C, Webster, TX 77598-4237 | 2012-03-25 |
| 1518162171 | Aziza F Sarker | Internal Medicine | 560 Blossom St, Suite A, Webster, TX 77598-4236 | 2007-06-15 |
| 1144277294 | Tejinder Singh Ahuja | Internal Medicine | 200 Medical Center Blvd, Suite 101, Webster, TX 77598-4235 | 2006-05-27 |
| 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 | ||||
Please comment or provide details below to improve the information on CLEAR LAKE NEPHROLOGY, PLLC.
| 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.