DR. AMY MYNDERSE (NPI# 1003848342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003848342 |
| Entity Type | Individual |
| Full Name | DR. AMY MYNDERSE |
| Credential | M.D. |
| Practice Address |
1701 Sunset Blvd Houston TX 77005-1713 |
| Mailing Address |
Po Box 4767 Houston TX 77210-4767 |
| Practice Telephone | 7135265511 |
| Practice Fax Number | 7135204755 |
| Mailing Telephone | 7135265511 |
| Mailing Fax Number | 7135204755 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M2721 | TX | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | M2721 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 182194401 | 05 | |
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 8V3667 | 01 |
| TX | RAILROAD MEDICARE | P00359984 | 01 |
| Street Address |
1701 SUNSET BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77005-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912996679 | Aparna P. Kulkarni | Internal Medicine | 1701 Sunset Blvd, Houston, TX 77005-1713 | 2005-10-17 |
| 1386253201 | Nettah Ndungu | Registered Nurse | 1701 Sunset Blvd, Houston, TX 77005-1713 | 2020-07-27 |
| 1093363145 | Jaclyn Perkins | Dietitian, Registered | 1701 Sunset Blvd, Houston, TX 77005-1798 | 2019-09-02 |
| 1750866133 | Soumya Philip | Nurse Practitioner | 1701 Sunset Blvd, Houston, TX 77005-1713 | 2018-10-01 |
| 1437695426 | Sarah Elyse Horn | Dietitian, Registered | 1701 Sunset Blvd, Houston, TX 77005-1798 | 2017-01-13 |
| 1174979728 | Kayla Krug | Internal Medicine | 1701 Sunset Blvd, Houston, TX 77005-1798 | 2016-05-12 |
| 1972989325 | Priyanka Bhugra | Internal Medicine | 1701 Sunset Blvd, Houston, TX 77005 | 2015-08-08 |
| 1053798447 | Sharon Xinran Li | Internal Medicine | 1701 Sunset Blvd, Houston, TX 77005-1798 | 2015-05-05 |
| 1912313446 | Kassi Kae Beasley | Dietitian, Registered | 1701 Sunset Blvd, Houston, TX 77005-1713 | 2014-07-03 |
| 1568807014 | Devesh Ajit Upadhya | Internal Medicine | 1701 Sunset Blvd, Houston, TX 77005-1713 | 2013-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952884322 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2518 University Blvd, Houston, TX 77005 | 2018-09-12 |
| 1669987939 | Rebeca Matamoros | Dietitian, Registered | 6311 Buffalo Speedway, Houston, TX 77005 | 2017-12-08 |
| 1518494863 | Cscb Rehabilitation Management Group, LLC | Substance Abuse Rehabilitation Facility | 1 Lile Court, Suite 103, Little Rock, AR 77005 | 2017-05-17 |
| 1194273490 | Yashika Pande | Dentist | 6137 Kirby Dr., Houston, TX 77005 | 2016-09-14 |
| 1932653300 | Ally Surgical First Assist.llc | Registered Nurse | 1747 Wroxton Ct Suite 1, Houston, TX 77005 | 2016-08-15 |
| 1477892966 | Kelli Galle | Nurse Practitioner | 2455 Dunstan Rd Ste 360, Houston, TX 77005 | 2013-02-05 |
| 1831448778 | Hsre-bridgewood Trs II, LLC | Alzheimer Center (Dementia Center) | 4141 N. Braeswood Blvd., Houston, TX 77005 | 2012-09-06 |
| 1013213313 | Ramsey Rice Village Pllc | Dentist | 2402-c Rice Blvd, Houston, TX 77005 | 2011-02-03 |
| 1679873889 | Advance Plus Therapy Services, LLC | Speech-Language Pathologist | 2429 Bissonnet Street, Suite E766, Houston, TX 77005 | 2010-10-22 |
| 1346492410 | Deniece Christ-rice | Social Worker | 5311 Kirby Dr Ste 204, Houston, TX 77005 | 2008-10-21 |
| Find all providers in zip 77005 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261002 | Cardiac Rhythm Center Pllc | Internal Medicine | 2527 Gramercy St, Houston, TX 77030-3107 | 2020-10-07 |
| 1891301438 | Primary Care of Houston Pllc | Internal Medicine | 19255 Park Row Ste 204b, Houston, TX 77084-7310 | 2020-09-18 |
| 1548876576 | Needmd Pllc | Internal Medicine | 1906 Mystic Arbor Ln, Houston, TX 77077-3546 | 2020-09-15 |
| 1417562919 | Privia Medical Group Gulf Coast, Pllc | Internal Medicine | 1140 Business Center Dr Ste 110, Houston, TX 77043-2749 | 2020-09-11 |
| 1174133870 | Houston Family Medicine & Pediatrics Pllc | Internal Medicine | 10101 Bissonnet St Ste 105a, Houston, TX 77036-7856 | 2020-08-06 |
| 1285250308 | Vzsss Inc | Internal Medicine | 11410 East Fwy Ste 164, Houston, TX 77029-2028 | 2020-06-24 |
| 1134744873 | Manoj B Vakil Md Pa | Internal Medicine | 1801 North Loop W Ste 42, Houston, TX 77008-1445 | 2020-06-09 |
| 1912526997 | Obur Health Pa | Internal Medicine | 1700 Post Oak Blvd Ste 600, Houston, TX 77056-3973 | 2020-04-10 |
| 1841824489 | Senior Care Providers Pllc | Internal Medicine | 1910 Aspley Ct, Houston, TX 77094-3431 | 2020-02-22 |
| 1306478730 | Sunny Medical Care Pllc | Internal Medicine | 18220 State Highway 249 Ste 100, Houston, TX 77070-4349 | 2020-02-04 |
| 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.