PROGRESSIVE MULTI-SPECIALTY GROUP, PLLC (NPI# 1942698139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942698139 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE MULTI-SPECIALTY GROUP, PLLC |
| Practice Address |
1113 West Baker Road Suite F Baytown TX 77521-2391 |
| Mailing Address |
Po Box 890326 Houston TX 77289-0326 |
| Practice Telephone | 2819933733 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | MOHSIN QAYYUM (MANAGER) |
| Authorized Official Telephone | 6303278129 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1113 WEST BAKER ROAD SUITE F |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851438 | Philip Theodric Eichelberger Jr. | General Practice | 1610 James Bowie Drive, Suite A103, Baytown, TX 77520-3346 | 2006-10-05 |
| 1073820254 | Eichelberger Medical Practice, P.a. | General Practice | 1610 James Bowie Drive, Suite A103, Baytown, TX 77520-3346 | 2010-09-09 |
| 1013245133 | Patricia A. Frey, M.d., P.a. | General Practice | 4201 Garth Rd, Suite 290, Baytown, TX 77521-3167 | 2009-12-01 |
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| 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.