DR. MOHAMMAD ETMINAN (NPI# 1972509230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972509230 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD ETMINAN |
| Credential | M.D. |
| Practice Address |
1517 Thompson Rd Richmond TX 77469-4932 |
| Mailing Address |
909 Frostwood Dr Suite 1.100 Houston TX 77024-2301 |
| Practice Telephone | 2813441715 |
| Mailing Telephone | 2813441715 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
L2241 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149358703 | 05 | |
| TX | BLUE CROSS AND BLUE SHIEL | 8M3060 | 01 |
| TX | RAILROAD MEDICARE | P01026731 | 01 |
| TX | 149358702 | 05 | |
| TX | 149358705 | 05 | |
| TX | 149358706 | 05 | |
| TX | US DEPT OF LABOR | 182635700 | 01 |
| TX | 149358704 | 05 | |
| TX | AETNA HMO | 3471057 | 01 |
| TX | AETNA PPO | 7095249 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699160473 | Mohammad R Etminan | Pharmacist | 1234 Wilshire Blvd # 106, Los Angeles, CA 90017-1970 | 2015-03-30 |
| Street Address |
1517 THOMPSON RD |
| City | RICHMOND |
| State | TX |
| Zip Code | 77469-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155751 | Jeffrey E Liang | Family Medicine | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2005-06-22 |
| 1326673930 | Jacquelyne Nicole Holquin | Physical Therapist | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2020-03-04 |
| 1790310316 | Lelet Coloma | Physical Therapist | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2020-03-04 |
| 1134753296 | Richard Dean King | Physical Therapist | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2020-02-27 |
| 1821621475 | Kyle Blair | Physical Therapist | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2020-02-21 |
| 1356698724 | Geoffrey Newcomer Konopka | Orthopaedic Surgery | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2012-08-05 |
| 1366776106 | Memorial Hermann Surgery Center Richmond, LLC | Clinic/Center | 1517 Thompson Rd, Ste 100, Richmond, TX 77469-4932 | 2009-09-28 |
| 1750521944 | Rosa Lee Duhon | Registered Nurse | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2009-02-27 |
| 1447496252 | Ashley Nasim Baxter | Chiropractor | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2008-12-29 |
| 1497991632 | Lillian W Orson Md Pa | Radiology | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2008-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325328 | Nikki Bradley | Private Vehicle | 7902 Lake Commerce Drive, Rosenberg, TX 77469 | 2020-04-27 |
| 1508496993 | Vanessa Joyce Daniels | Counselor | 22155 Wildwood Park Road, 615, Richmond, TX 77469 | 2020-01-24 |
| 1881230183 | Tiffany Elaine Chen | Counselor | 22034 Rustic Canyon Lane, Richmond, TX 77469 | 2019-11-21 |
| 1265074199 | Laura Y Magana | Technician | 212 Mellon Street, Richmond, TX 77469 | 2019-10-11 |
| 1629626155 | Kofi Assenso-onyinah | Registered Nurse | 8111 Baccharis Road, Richmond, TX 77469 | 2019-08-28 |
| 1740759182 | Houssam Mahmoud Mozeyen | Nurse Practitioner | 5719 Indigo Trails Dr, Richmond, TX 77469 | 2018-11-15 |
| 1205317302 | Amarachi Peace Okafor | Registered Nurse | 22018 Rustic Canyon Ln, Richmond Tx, TX 77469 | 2018-08-27 |
| 1649750969 | Brazos Hybrid Pharmacy LLC | Pharmacy | 545 Fm 2977 Road Suite 110, Rosenberg, TX 77469 | 2018-08-16 |
| 1104303437 | Richmond Rx LLC | Pharmacy | 1100 Jackson Street, Suite D, Richmond, TX 77469 | 2018-07-19 |
| 1962988766 | Allcare Mental Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6419 Granite Springs Ln, Richmond, TX 77469 | 2018-07-15 |
| Find all providers in zip 77469 | ||||
| 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 |
|---|---|---|---|---|
| 1407898570 | Gregory S. Hellwarth | Orthopaedic Surgery | 1400 Highland Rd Ste 1, Richmond, IN 47374-8810 | 2006-06-12 |
| 1114992237 | Ravishankar Vedantam | Orthopaedic Surgery | 1050 Reid Parkway, Suite 100, Central Indiana Orthopedics, PC, Richmond, IN 47374-1156 | 2006-02-22 |
| 1770045239 | Sva Care of Va, LLC | Orthopaedic Surgery | 100 Shockoe Slip Fl 2, Richmond, VA 23219-4100 | 2019-04-03 |
| 1316324502 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 1050 Reid Pkwy, Suite 100, Richmond, IN 47374-1155 | 2015-04-27 |
| 1558313320 | John Michael Simpson | Orthopaedic Surgery | 1501 Maple Ave, Nw Mob Suite 200, Richmond, VA 23226-2553 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761584 | Jfc Medical, Pllc | Orthopaedic Surgery | 6470 Naples Dr, Irving, TX 75039-4167 | 2020-05-11 |
| 1740812221 | Granthem Pllc | Orthopaedic Surgery | 8440 Walnut Hill Ln Ste 230, Dallas, TX 75231-3816 | 2020-02-12 |
| 1184270845 | Spine Dfw Pa | Orthopaedic Surgery | 440 W Lbj Fwy Ste 465, Irving, TX 75063-3869 | 2019-08-16 |
| 1083268338 | Mp Surgical Assists LLC | Orthopaedic Surgery | 4012 Duval St Unit B, Austin, TX 78751-5110 | 2019-07-25 |
| 1215405402 | Houston Scoliosis & Spine Institute, LLC | Orthopaedic Surgery | 3534 Vista Rd Ste 2000, Pasadena, TX 77504-1728 | 2018-11-06 |
| 1306332481 | Craig C Callewart Md Pa | Orthopaedic Surgery | 17051 Dallas Pkwy Ste 420, Addison, TX 75001-7115 | 2018-07-02 |
| 1013415397 | Total Joint Cin of West Texas LLC | Orthopaedic Surgery | 18911 Hardy Oak Blvd # B, San Antonio, TX 78258-4967 | 2018-01-31 |
| 1750889036 | Total Joint Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave Ste 1540b, Austin, TX 78701-4071 | 2018-01-31 |
| 1578071452 | Spine Cin of West Texas LLC | Orthopaedic Surgery | 18911a Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1205344181 | Spine Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave # 1540a, Austin, TX 78701-4071 | 2018-01-13 |
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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.