KIM RAY SHRUM (NPI# 1902895568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902895568 |
| Entity Type | Individual |
| Full Name | KIM RAY SHRUM |
| Credential | MD |
| Practice Address |
18545 W Lake Houston Pkwy Humble TX 77346-3392 |
| Practice Telephone | 2818124000 |
| Practice Fax Number | 2818123331 |
| Mailing Telephone | 2818124000 |
| Mailing Fax Number | 2818123331 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | L2649 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BEECHSTREET | 21210202328 | 01 | |
| CIGNA | 4119904 | 01 | |
| DME PALMETTO | 4198390001 | 01 | |
| TX | BLUE CROSS BLUE SHIELD | 8B7450 | 01 |
| TX | 145199904 | 05 | |
| CCN FIRST HEALTH | 5248990 | 01 | |
| AETNA | 7114117 | 01 | |
| ONE HEALTH PLAN | 975250 | 01 | |
| TX | 145199905 | 05 | |
| DME PALMETTO | 4198390002 | 01 |
| Street Address |
18545 W LAKE HOUSTON PKWY |
| City | HUMBLE |
| State | TX |
| Zip Code | 77346-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720468630 | Berkeley Eye Institute, P.a | Optometrist | 18545 W Lake Houston Pkwy, Humble, TX 77346 | 2015-06-05 |
| 1679705438 | Chase Ryan Hilton | Optometrist | 18545 W Lake Houston Pkwy, Humble, TX 77346 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
| 1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
| 1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
| 1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
| 1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
| 1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
| 1770953408 | Alliance Mri Lake Houston, LLC | Clinic/Center | 5514 Atascocita Road, Suite 180, Humble, TX 77346 | 2015-10-07 |
| 1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
| 1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
| 1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
| Find all providers in zip 77346 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760773790 | Caroline Marie Schmidt | Ophthalmology | 18850 South Memorial Blvd, Humble, TX 77338 | 2011-04-25 |
| 1619126109 | Ambrose Mobile Health Care Association | Ophthalmology | 5970 N Sam Houston Pkwy E Ste 505, Humble, TX 77396-3258 | 2008-09-09 |
| 1356636492 | David Tremblay | Ophthalmology | 18850 S Memorial Dr, Humble, TX 77338-4288 | 2011-06-16 |
| 1427252006 | Jennifer Leigh Melton | Ophthalmology | 18850 S Memorial Dr, Humble, TX 77338-4288 | 2007-06-14 |
| 1316150592 | Martha M Gallia Od PC | Ophthalmology | 9810 Fm 1960 Bypass Rd W, Ste 250, Humble, TX 77338-3502 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537402 | Dr. Rachel Gelmans Vision P.a. | Ophthalmology | 5201 North G Street, Mcallen, TX 78504 | 2020-10-28 |
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1275180135 | Texas Eye Doctors, P.a. | Ophthalmology | 4501 Medical Center Dr Ste 300, Mckinney, TX 75069-6802 | 2019-08-23 |
| 1760036990 | Ward Dittmar Heinrich Jr. | Ophthalmology | 3295 Lockhill Selma Rd, San Antonio, TX 78230-3024 | 2019-07-25 |
| 1265091300 | Sheila Barbarino, Md Inc. | Ophthalmology | 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 | 2019-06-12 |
| 1487213872 | Mann Eye Center, Pa | Ophthalmology | 1530 Sun City Blvd Ste 150, Georgetown, TX 78633-5353 | 2019-06-10 |
| 1609432210 | J.w. Eye Associates, Pa | Ophthalmology | 11445 Dallas Pkwy Ste 290, Frisco, TX 75033-4257 | 2019-05-20 |
| 1376000737 | Nadim Sami Nassif | Ophthalmology | 5150 Hidalgo St Unit 403, Houston, TX 77056-6409 | 2019-02-21 |
| 1073087706 | Laser Sight, Lp | Ophthalmology | 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIM RAY SHRUM.
| 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.