NORTHEAST HOUSTON SPINE CENTER PA (NPI# 1962676122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962676122 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HOUSTON SPINE CENTER PA |
| Practice Address |
14450 T.c. Jester Suite 100 Houston TX 77014-1331 |
| Mailing Address |
Po Box 132618 The Woodlands TX 77393-2618 |
| Practice Telephone | 2812921121 |
| Practice Fax Number | 8325533211 |
| Mailing Telephone | 2812921121 |
| Mailing Fax Number | 8325533211 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2011-09-19 |
| Authorized Official Name | MR. SAQIB A. SIDDIQUI (PRESIDENT/MD) |
| Authorized Official Telephone | 2812921121 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
M0921 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
14450 T.C. JESTER SUITE 100 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77014-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150880 | Tiffanie L. James | Counselor | 14405 Walters Rd Suite 604, Houston, TX 77014 | 2020-06-30 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1073018768 | V & V Medical Management | General Practice | 13626 Veterans Memorial Dr Ste F, Houston, TX 77014 | 2018-03-26 |
| 1679072649 | Ebony Burton | Behavior Technician | 3845 Cypress Creek Prkwy 215, Houston, TX 77014 | 2018-02-06 |
| 1457860108 | Henry A. Donald IIi | Assisted Living Facility | 2802 Wisner Cir., Houston, TX 77014 | 2017-09-26 |
| 1124567367 | Champions Serene Hcs, LLC | Assisted Living Facility | 13606 Walters Rd. Bldg 1-6 A-b, Houston, TX 77014 | 2017-02-21 |
| 1801338322 | P, M, & R Specialists of Texas | Psychologist | 14405 Walters, Ste A, Houston, TX 77014 | 2016-11-15 |
| 1720451271 | Stepping Stones Trasitional Living and Support Services | Custodial Care Facility | 13610 Walters Rd., Ste A, Houston, TX 77014 | 2015-11-05 |
| 1881077766 | Erin Cleveland | Pharmacist | 15655 Cypress Woods Med Dr, Suite #150, Houston, TX 77014 | 2015-07-09 |
| 1669879573 | Jacal & Associates | Counselor | 14405 Walters Rd., Ste. 602, Houston, TX 77014 | 2014-11-21 |
| Find all providers in zip 77014 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742229 | Nobilis Health Network Specialist Pllc | Orthopaedic Surgery | 11700 Katy Fwy, Suite 300, Houston, TX 77079-1216 | 2015-10-08 |
| 1750623252 | Daren J Mccalla | Orthopaedic Surgery | 7700 Main St Ste 400, Houston, TX 77030-4456 | 2013-03-22 |
| 1972752228 | Ra'kerry Kahlil Rahman | Orthopaedic Surgery | 2656 S Loop W Ste 595, Houston, TX 77054-5618 | 2008-09-11 |
| 1144407032 | Orthopaedic Institute for Spinal Disorders, P.a | Orthopaedic Surgery | 2500 Fondren Rd Ste 210, Houston, TX 77063-2313 | 2008-01-23 |
| 1790979342 | Gulf Coast Spine Care Ltd., Pa | Orthopaedic Surgery | 1200 Binz St Ste 970, Houston, TX 77004-6946 | 2007-08-28 |
| 1770624793 | Hosun Hwang | Orthopaedic Surgery | 18220 State Highway 249 Ste 300, Houston, TX 77070-4370 | 2007-02-11 |
| 1538221148 | Northshore Orthopedics Assoc | Orthopaedic Surgery | 5225 Katy Freeway, Suite 600, Houston, TX 77007 | 2006-12-14 |
| 1649212531 | Richard Randolph Maxwell Francis | Orthopaedic Surgery | 9301 Southwest Fwy, Suite 600, Houston, TX 77074-1510 | 2006-06-12 |
| 1083686539 | Saqib A Siddiqui | Orthopaedic Surgery | 14450 Tc Jester, Suite 100, Houston, TX 77014-1331 | 2006-02-07 |
| 1225036429 | Bernhard Christoph Meyer | Orthopaedic Surgery | 18400 Katy Fwy, Suite 200, Houston, TX 77094-1286 | 2005-07-12 |
| Find all providers in HOUSTON | ||||
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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.