LARRY JEFFERSON (NPI# 1083794341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083794341 |
| Entity Type | Individual |
| Full Name | LARRY JEFFERSON |
| Credential | MD |
| Practice Address |
6621 Fannin St Wt 6-006 Houston TX 77030-2316 |
| Mailing Address |
6621 Fannin St Wt 6-006 Houston TX 77030-2303 |
| Practice Telephone | 8328246230 |
| Practice Fax Number | 8328252967 |
| Mailing Telephone | 8328246230 |
| Mailing Fax Number | 8328252967 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
G2400 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
G2400 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 134850003 | 05 |
| Street Address |
6621 FANNIN ST WT 6-006 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465193 | William E Whitehead | Neurological Surgery | 6621 Fannin St, Clinical Care Center 1230.01, Houston, TX 77030-2303 | 2005-05-27 |
| 1447851571 | Lucero Gonzalez Franco Haghenbeck | Social Worker | 6621 Fannin St, Houston, TX 77030-2358 | 2020-11-04 |
| 1417562356 | Rylee Apodaca | Anesthesiology | 6621 Fannin St, Houston, TX 77030-2358 | 2020-09-08 |
| 1174132500 | Kiara Pegues | Nurse Practitioner | 6621 Fannin St, Houston, TX 77030-2358 | 2020-07-31 |
| 1104435973 | Colleen Bialas | Dietitian, Registered | 6621 Fannin St, Houston, TX 77030-2358 | 2020-07-28 |
| 1386253334 | Whitney Strong | Pharmacist | 6621 Fannin St, Houston, TX 77030-2358 | 2020-07-27 |
| 1972128296 | Ryan Nichole Wozniewicz | Pharmacist | 6621 Fannin St, Houston, TX 77030-2358 | 2020-06-11 |
| 1447873583 | Michael Sanchez | Respiratory Therapist, Registered | 6621 Fannin St, Houston, TX 77030-2358 | 2020-05-23 |
| 1174145460 | Katie Renee Hillman | Nurse Practitioner | 6621 Fannin St, Houston, TX 77030-2358 | 2020-05-11 |
| 1508498635 | Gregor Johannes Kasprian | Radiology | 6621 Fannin St, Houston, TX 77030-2358 | 2020-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891085528 | Sonal Malhotra | Pediatrics | 7700 Fannin St Ste 1040, Houston, TX 77054 | 2011-04-14 |
| 1003143553 | Marlene D. Typaldos Sanchez | Pediatrics | 6701 Fannin St Ste 1040, Houston, TX 77030-2611 | 2009-11-04 |
| 1144309279 | Harold J. Farber | Pediatrics | 6701 Fannin St, 9th Floor, Mc Cc 920.01, Texas Children's Hospital Clinical Care Center, Houston, TX 77030 | 2006-11-02 |
| 1881088011 | David Sebastian Moreno Mcneill | Pediatrics | 6701 Fannin St Ste 1040, Houston, TX 77030 | 2015-03-25 |
| 1962818310 | Neurology and Sleep Specialists, P.a. | Pediatrics | 902 Frostwood Dr, Suite 210, Houston, TX 77024-2420 | 2014-07-07 |
| 1770835548 | Naga Jaya Smitha Yenduri | Pediatrics | 6701 Fannin St, Suite 1040.00, Houston, TX 77030-2608 | 2012-10-03 |
| 1104110832 | David Raphael Spielberg | Pediatrics | 6701 Fannin St Ste 1040, Houston, TX 77030 | 2011-05-28 |
| 1932402807 | Nidhy Paulose Varghese | Pediatrics | 1504 Taub Loop, Houston, TX 77030-1608 | 2010-12-14 |
| 1144547423 | Joseph Rosen | Pediatrics | 7400 Fannin St, Suite 1130, Houston, TX 77054-1920 | 2010-04-27 |
| 1609109727 | Binal Kancherla | Pediatrics | 6701 Fannin St, Suite D1040.00, Houston, TX 77030-2316 | 2009-09-08 |
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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.