DR. MICHELLE DENISE TEDJA (NPI# 1043566557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043566557 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE DENISE TEDJA |
| Credential | M.D. |
| Practice Address |
8901 Boone Rd Houston TX 77099-1659 |
| Mailing Address |
6431 Fannin St Ste Jjl 495 Houston TX 77030-1501 |
| Practice Telephone | 2814540500 |
| Mailing Telephone | (713) 500-6645 |
| Mailing Fax Number | 7135000527 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Q2213 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 347829901 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6410 Fannin St Ste 500, Houston, TX 770303005 | 8323257111 |
| Street Address |
8901 BOONE RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77099-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790606 | Shirley Chacko | Pharmacist | 8901 Boone Rd, El Franco Lee Health Center Pharmacy, Houston, TX 77099 | 2005-06-17 |
| 1033738232 | Mayra Alejandra Rivas | Dietitian, Registered | 8901 Boone Rd, Houston, TX 77099-1659 | 2020-04-09 |
| 1619461407 | Ut Physicians Specialty Services | Pediatrics | 8901 Boone Rd, Houston, TX 77099 | 2018-06-15 |
| 1770957250 | Helen Le | Pharmacist | 8901 Boone Rd, Houston, TX 77099-1659 | 2015-11-20 |
| 1275907925 | Uchechi Agatha Adindu | Pharmacist | 8901 Boone Rd, Houston, TX 77099-1659 | 2015-11-18 |
| 1659745305 | Shaylarene' Trichelle Hubert | Pharmacist | 8901 Boone Rd, Houston, TX 77099-1659 | 2015-11-18 |
| 1376957829 | Ut Physicians | Family Medicine | 8901 Boone Rd, Houston, TX 77099-1659 | 2014-06-12 |
| 1275963050 | Thomas Paul Snow | Social Worker | 8901 Boone Rd, Houston, TX 77099-1659 | 2013-11-15 |
| 1104251313 | Danh Cong Pham | Pharmacist | 8901 Boone Rd, Houston, TX 77099-3235 | 2013-09-06 |
| 1487089884 | Tramell C Bell | Pharmacist | 8901 Boone Rd, Houston, TX 77099-1659 | 2013-09-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566688 | Olajumoke Foluke Ajayi | Home Health | 9555 West Sam Houston Pwky S., 410, Houston, TX 77099 | 2020-07-23 |
| 1215580998 | Unity Adult Day Care | Health Maintenance Organization | 11522 South Drive, Houston, TX 77099 | 2019-07-22 |
| 1700340122 | Goshen Living Inc | Home Health | 11735 South Glen Drive #1003, Houston, TX 77099 | 2019-01-30 |
| 1306300140 | Nicanora Celsa Cuellar | Social Worker | 9810 West Sam Houston Parkway South, Suite 200, Houston, TX 77099 | 2019-01-25 |
| 1396223913 | Goshen Living Inc | Home Health | 11735 South Glen Drive, 1003, Houston, TX 77099 | 2018-08-06 |
| 1043724768 | Tj Brothers Pharmacy | Pharmacy | 10910 W. Bellfort Ave, Houston, TX 77099 | 2017-11-17 |
| 1427599042 | Patricio Gutierrez Magpali Jr. | Physical Therapist | 12030 Spring Grove Drive, Houston, TX 77099 | 2017-03-15 |
| 1790157709 | Rosemary Ngozi Ofili | Nurse Practitioner | 9644 Court Lane Drive, West Family Clinic, Houston, TX 77099 | 2015-10-29 |
| 1649670795 | Rochelle Ann Wright | Preferred Provider Organization | 11045 Lands Walk, 102, Houston, TX 77099 | 2014-08-26 |
| 1558792838 | Speaking Out Loud Speech Therapy Services, Pllc | Speech-Language Pathologist | 10960 Stancliff Road, Houston, TX 77099 | 2013-12-11 |
| Find all providers in zip 77099 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1821612276 | Rainbow Pediatrics of Houston, Pllc. | Pediatrics | 12822 Veterans Memorial Dr, Houston, TX 77014-2049 | 2020-06-02 |
| 1730651688 | Jennifer Anne Sauve | Pediatrics | 3131 Timmons Ln Apt 1124, Houston, TX 77027-6075 | 2018-12-17 |
| 1972071207 | Peekaboo Pediatrics | Pediatrics | 1740 W 27th St Ste 305, Houston, TX 77008-1437 | 2018-11-05 |
| 1235605064 | Bola Olasunkanmi Jaiyeola | Pediatrics | 8338 W Sam Houston Pkwy S Ste 198, Houston, TX 77072-5088 | 2018-10-19 |
| 1013498690 | Ut Physicians Specialty Services | Pediatrics | 5516 Lockwood Dr., Houston, TX 77026-1919 | 2018-08-22 |
| 1366928418 | Ut Physicians Specialty Services | Pediatrics | 9105 N. Wayside Dr., Houston, TX 77028-1030 | 2018-07-12 |
| 1811486814 | Cypress Creek Pediatric Clinic | Pediatrics | 4560 Cypress Creek Pkwy Ste 100, Houston, TX 77069-4628 | 2018-05-04 |
| 1568963049 | Elizabeth Renee Holland | Pediatrics | 1875 Post Oak Park Dr Apt 721, Houston, TX 77027-3471 | 2018-02-21 |
| 1427579366 | Ut Physicians | Pediatrics | 9801 Long Point Rd, Houston, TX 77055-4188 | 2017-06-30 |
| 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.