DR. MARC ALAN SANGALLI (NPI# 1083678312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083678312 |
| Entity Type | Individual |
| Full Name | DR. MARC ALAN SANGALLI |
| Credential | MD |
| Practice Address |
2100 Regional Medical Dr Wharton TX 77488-9719 |
| Practice Telephone | 9795321700 |
| Practice Fax Number | 9795326790 |
| Mailing Telephone | 9795321700 |
| Mailing Fax Number | 9795326790 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2012-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | J4500 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 118843501 | 05 | |
| TX | BC/BS TX# | 85Z654 | 01 |
| TX | BC/BS# | 8DE545 | 01 |
| TX | RAILROAD GBA - RAILROAD MEDICARE | 160039180 | 01 |
| TX | 118843507 | 05 |
| Street Address |
2100 REGIONAL MEDICAL DR |
| City | WHARTON |
| State | TX |
| Zip Code | 77488-9719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679543409 | John Wayne Whitt | Urology | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2006-01-24 |
| 1457829640 | Obuchukwuneme Ughanze Calais | Nurse Practitioner | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2018-11-06 |
| 1649681354 | Laura Aronson | Family Medicine | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2014-05-15 |
| 1528402997 | Tayyab Pasha | Pediatrics | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2013-04-29 |
| 1518215383 | Taryn Leigh Teykl | Nurse Practitioner | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2012-08-27 |
| 1780919027 | Janie Martinez Avila | Nurse Practitioner | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2009-10-05 |
| 1215171913 | Sharrone Hill Taft | Physician Assistant | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2009-04-24 |
| 1619147345 | Select Physical Therapy Holdings Inc | Clinic/Center | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2008-03-10 |
| 1033303490 | Joyce Ego Eziashi Egbe | Pediatrics | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2007-08-29 |
| 1770775264 | Heather Pietsch | Physical Therapy Assistant | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2007-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
| 1417413188 | El Campo Memorial Hospital | Family Medicine | Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 | 2019-02-18 |
| 1740761311 | L S & Associates LLC | Contractor | 701 Mattie St, Wharton, TX 77488 | 2018-08-22 |
| 1740770361 | Blake Benson | Counselor | 4004 Peach Creek Dr, Wharton, TX 77488 | 2018-05-18 |
| 1750886495 | Clifford Eleazer Wilson | Pharmacist | 214 W Alhdag Avenue, Wharton, TX 77488 | 2018-03-26 |
| 1376045104 | There Is Victory In Jesus Recovery Center | Counselor | 218 North Houston Street, Wharton, TX 77488 | 2018-03-07 |
| 1578084877 | Wharton Eye Associates Pa | Ophthalmology | 10119 Us Hwy 59 South, Suite 4, Wharton, TX 77488 | 2017-06-28 |
| 1508386921 | El Campo Memorial Hospital | Family Medicine | 10358 Us Hwy 59 #a, Wharton, TX 77488 | 2017-06-27 |
| 1710334602 | Amgref Health Systems Corporation | Home Health | 307 West Milam Street, Suite 201, Wharton, TX 77488 | 2016-05-20 |
| 1073997078 | Elelyon Health Care LLC | Home Health | 607 N Fulton Street, Wharton, TX 77488 | 2015-07-20 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828445 | Guillermo Ortiz | Obstetrics & Gynecology | 249 South Main Street, Wharton, NJ 07885 | 2006-02-03 |
| 1841598026 | Guillermo Ortiz M.d. Ob/gyn LLC | Obstetrics & Gynecology | 249 S Main St, Wharton, NJ 07885 | 2011-03-11 |
| 1801850235 | John Mark Fink | Obstetrics & Gynecology | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2006-04-13 |
| 1861454654 | Jeffery Lynn Gubbels | Obstetrics & Gynecology | 2100 Regional Medical Dr, Wharton, TX 77488-9719 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677067 | Rodriguez Health, LLC | Obstetrics & Gynecology | 107 N Smith St Ste B, Pleasanton, TX 78064-4109 | 2020-10-17 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1891303673 | Serenity Women's Health Pllc | Obstetrics & Gynecology | 10907 Memorial Hermann Dr Ste 355, Pearland, TX 77584-4114 | 2020-07-17 |
| 1659994069 | Carolina A Andrade | Obstetrics & Gynecology | 945 S Mesa Hills Dr Apt 3515, El Paso, TX 79912-5157 | 2020-05-20 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1457972721 | Brynna Lynch | Obstetrics & Gynecology | 11212 State Highway 151 Ste 120, San Antonio, TX 78251-4498 | 2020-04-28 |
| 1952933913 | Gilbert G Sayegh Md, Pa | Obstetrics & Gynecology | 1004 Hobbs Hwy Ste 4, Seminole, TX 79360-3310 | 2020-02-07 |
| 1346880184 | Burke Womens Healthcare Pllc | Obstetrics & Gynecology | 4002 Burke Rd Ste 300, Pasadena, TX 77504-3451 | 2020-01-09 |
| 1386280337 | Women's Pavilion of Greater Houston | Obstetrics & Gynecology | 6051 Garth Rd Ste 700, Baytown, TX 77521-9807 | 2019-11-25 |
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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.