NIDA NISAR (NPI# 1982196416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982196416 |
| Entity Type | Individual |
| Full Name | NIDA NISAR |
| Credential | DPM |
| Practice Address |
331 Forest Center Dr Apt 22003 Kingwood TX 77339-5291 |
| Mailing Address |
12121 Richmond Ave Ste 417 Houston TX 77082-2439 |
| Practice Telephone | 6306560680 |
| Mailing Telephone | 2815971630 |
| Mailing Fax Number | 2815979600 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | T432018 | TX | Podiatric Medicine & Surgery Service Providers |
| Street Address |
331 FOREST CENTER DR APT 22003 |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77339-5291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326589797 | Podiacare, LLC | Podiatrist | 3415 Havenbrook Dr, 1706, Kingwood, TX 77339-2617 | 2017-03-17 |
| 1962579763 | Stephen G Eichelsdorfer, Dpm, Pa | Podiatrist | 8 N Main St Ste P, Kingwood, TX 77339-3750 | 2006-11-29 |
| 1588642532 | Stephen G Eichelsdorfer | Podiatrist | 8 N Main St, Ste P, Kingwood, TX 77339-3748 | 2006-01-09 |
| 1245217967 | Joseph George Burckhardt | Podiatrist | 1414 Green Oak Terrace Ct Ste 100, 100, Kingwood, TX 77339-2960 | 2005-12-22 |
| 1164411021 | Jason Christopher Miller | Podiatrist | 350 Kingwood Medical Dr, Suite 150, Kingwood, TX 77339-6405 | 2005-10-13 |
| 1013919471 | Michael Hanlon Wynn | Podiatrist | 23972a Highway 59 N, Kingwood, TX 77339-1535 | 2005-08-15 |
| 1689194037 | Bijan Sheikhizadeh | Podiatrist | 22999 Highway 59 N, Kingwood, TX 77339-4412 | 2017-06-26 |
| 1710397773 | Jason C Miller Dpm Pa | Podiatrist | 350 Kingwood Medical Dr, Suite 150, Kingwood, TX 77339-6405 | 2014-04-30 |
| 1003144593 | Tyreen Vidal Heybeck | Podiatrist | 8 N Main St Ste P, Kingwood, TX 77339-3750 | 2009-11-23 |
| 1962670950 | Stephen G, Eichelsdorfer Dpm, Pa | Podiatrist | 8 N Main St Ste P, Kingwood, TX 77339-3750 | 2008-02-13 |
| Find all providers in KINGWOOD | ||||
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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.