POOVAMMA B MUTHAPPA (NPI# 1063550374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063550374 |
| Entity Type | Individual |
| Full Name | POOVAMMA B MUTHAPPA |
| Credential | MD |
| Practice Address |
14027 Memorial Dr # 252 Houston TX 77079 |
| Mailing Address |
14207 Memorial Dr. Ste 252 Houston TX 77079 |
| Practice Telephone | 2814122494 |
| Practice Fax Number | 2814122495 |
| Mailing Telephone | 8322037640 |
| Mailing Fax Number | 8328346409 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
H5596 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 126236203 | 05 |
| Street Address |
14027 MEMORIAL DR # 252 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710025010 | Memorial-spring Branch Neonatology Consultants, P.a. | Pediatrics | 14027 Memorial Dr # 252, Houston, TX 77079-6826 | 2007-02-01 |
| 1700111036 | Melissa M Carbajal | Pediatrics | 14027 Memorial Dr # 252, Houston, TX 77079-6826 | 2009-10-05 |
| 1558518688 | Eva Lisa Wheatley | Pediatrics | 14027 Memorial Dr # 252, Houston, TX 77079-6826 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| Find all providers in zip 77079 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1699233510 | Allison Claire Arbilo | Pediatrics | 6431 Fannin St # 3.254, Houston, TX 77030-1501 | 2019-03-10 |
| 1225451032 | Sherlene Annette Dreyer | Pediatrics | 5000 Montrose Blvd Unit 19b, Houston, TX 77006-6564 | 2014-01-29 |
| 1790076024 | Erin L Umbriaco | Pediatrics | One Baylor Plaza, Bcm 320, Houston, TX 77030 | 2011-04-20 |
| 1063655405 | Melissa Matthews Adeyemo | Pediatrics | 6431 Fannin St Dept Of, Houston, TX 77030 | 2009-04-15 |
| 1467639468 | Erin Colleen Hamilton Spence | Pediatrics | 6431 Fannin St Ste 3.232, Houston, TX 77030-1501 | 2008-01-22 |
| 1376748822 | Sushma Nuthakki | Pediatrics | 7400 Fannin St Ste 810, Houston, TX 77054-1935 | 2007-06-15 |
| 1427170224 | Khurshid Abdul Sattar Bidiwala | Pediatrics | 17619 Waverly Grove Dr, Houston, TX 77084-6339 | 2007-04-04 |
| 1740309004 | Medical Center Neonatal Assoc Pa | Pediatrics | 5615 Kirby, #440, Houston, TX 77005 | 2007-03-28 |
| 1932230117 | Elizabeth B Eason | Pediatrics | 4899 Montrose, Apt 1403, Houston, TX 77006-6169 | 2007-03-08 |
| 1912045220 | Prabhujeet Chadda | Pediatrics | 14027 Memorial Dr, #252, Houston, TX 77079 | 2007-02-01 |
| 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.