FARAH MAMEDOV (NPI# 1063467439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063467439 |
| Entity Type | Individual |
| Full Name | FARAH MAMEDOV |
| Credential | MD |
| Practice Address |
13114 Fm 1960 Rd W 114 Houston TX 77065-4290 |
| Practice Telephone | 2814692838 |
| Practice Fax Number | 2814692247 |
| Mailing Telephone | 2814692838 |
| Mailing Fax Number | 2814692247 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | M1223 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
13114 FM 1960 RD W 114 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77065-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063988061 | Brendan Michael Green | Pharmacist | 13114 Fm 1960 Rd W, Houston, TX 77065-4290 | 2018-10-17 |
| 1568844058 | Tammy Heizelman | Pharmacist | 13114 Fm 1960 Rd W, Ste #120, Houston, TX 77065-4290 | 2015-06-22 |
| 1518362912 | Christina Sullivan | Nurse Practitioner | 13114 Fm 1960 Rd W, 114, Houston, TX 77065-4290 | 2014-10-28 |
| 1629419932 | Imperial Surgery Center LLC | Clinic/Center | 13114 Fm 1960 Rd W, Suite 118, Houston, TX 77065-4290 | 2013-07-15 |
| 1255778791 | Katherine Holzman | Family Medicine | 13114 Fm 1960 Rd W, Suite 119, Houston, TX 77065-4290 | 2013-05-23 |
| 1003158411 | Brenna Michell Muniz | Internal Medicine | 13114 Fm 1960 Rd W, Houston, TX 77065-4290 | 2013-03-24 |
| 1093057713 | Wortham Surgery Group | Clinic/Center | 13114 Fm 1960 Rd W, #118, Houston, TX 77065-4290 | 2013-03-20 |
| 1184970683 | Margaret Mcpherson | Pediatrics | 13114 Fm 1960 Rd W, Ste. 114, Houston, TX 77065-4290 | 2012-08-02 |
| 1407116437 | Pauline Scott | Dermatology | 13114 Fm 1960 Rd W, Houston, TX 77065 | 2012-05-24 |
| 1093020117 | Rosabelle Via Mcconkey | Pediatrics | 13114 Fm 1960 Rd W, #114, Houston, TX 77065-4290 | 2010-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184913 | American Med Resources, LLC | Nursing Care | 12811 Azalea Creek Trail, Houston, TX 77065 | 2019-09-24 |
| 1619445210 | Prativa N Bhandari | Nurse Practitioner | 11307 Farm To Market, W #130, Houston, TX 77065 | 2018-11-13 |
| 1215405923 | Nyla Jacobs | Physical Therapist | 11777 Fm 1960 W, Houston, TX 77065 | 2018-11-12 |
| 1437632460 | Jose Milton Hernandez Mercado | Dentist | 12341 Fm 1960 Rd W Ste A, Houston, TX 77065 | 2018-09-14 |
| 1780164285 | Portal Cypress Dentistry & Orthodontics Pllc | Dentist | 11211 North Eldridge Pkwy, Houston, TX 77065 | 2018-08-15 |
| 1710492368 | Monica Zelaya | Counselor | 11919 Leaf Oak Dr, Houston, TX 77065 | 2017-12-05 |
| 1619494077 | Tam-anh Nguyen | Specialist/Technologist | 9827 Chiselhurst Dr., Houston, TX 77065 | 2017-08-26 |
| 1881110211 | Veronica Arceneaux | Home Health Aide | 12436 F M 1960 West, #191, Houston, TX 77065 | 2017-08-17 |
| 1528590288 | Cini John | Nurse Practitioner | 11810 Fm1960 W., Hc Medical Doctors, Pa, Houston, TX 77065 | 2017-03-31 |
| 1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
| Find all providers in zip 77065 | ||||
| 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.