MARC L KUDISCH (NPI# 1093716375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093716375 |
| Entity Type | Individual |
| Full Name | MARC L KUDISCH |
| Credential | MD |
| Practice Address |
3030 S Gessner Rd Ste 120 Houston TX 77063-3770 |
| Practice Telephone | 7137779995 |
| Practice Fax Number | 7137770100 |
| Mailing Telephone | 7137779995 |
| Mailing Fax Number | 7137770100 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
J1289 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 131866903 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6699 Chimney Rock Rd, Suite 103, Houston, TX 770815358 | 7137779995 | 7137770100 |
| Street Address |
3030 S GESSNER RD STE 120 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77063-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443266 | Diagnostic Enterprises | Clinical Medical Laboratory | 2540 Fondren Road, Suite 265, Houston, TX 77063 | 2020-07-06 |
| 1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
| 1700445376 | Diana Carter | Licensed Vocational Nurse | 1602 S City Oak Ln, Houston, TX 77063 | 2019-06-07 |
| 1952964264 | Pamela Lowrance | Specialist | 8401 Westhiemer Rd. #503, Inside Blue Lion Salon Studios, Houston, TX 77063 | 2019-04-22 |
| 1104381649 | Jaileen Grullon | Physical Therapy Assistant | 9638 Beverlyhill Street, Houston, TX 77063 | 2019-02-08 |
| 1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
| 1740765932 | Sean A Maxwell | Physical Therapist | 2500 Fondern Road, Suite 302, Houston, TX 77063 | 2018-10-03 |
| 1578065074 | Johannah Sommer Garza | Psychologist | 7660 Woodway Dr Ste 599, Houston, TX 77063 | 2018-03-01 |
| 1477069995 | Modern Med Health Solutions LLC | Nurse Practitioner | 9950 Westpark Dr Ste 312, Houston, TX 77063 | 2017-12-20 |
| 1306360177 | Desmond Eugene Blake Sr. | Specialist | 3201 Fondren Rd, Houston, TX 77063 | 2017-08-02 |
| Find all providers in zip 77063 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538696117 | Christopher Kim | Internal Medicine | 6550 Fannin St Ste Sm1201, Houston, TX 77030-2717 | 2017-05-15 |
| 1780039255 | Gastroenterology Consultants of West Houston Pllc | Internal Medicine | 9918 Vintage Villa Dr, Houston, TX 77070-3885 | 2016-05-03 |
| 1821465949 | Dr. Adeeb Associated | Internal Medicine | 572 Bomar St, Houston, TX 77006-1407 | 2015-08-24 |
| 1841532447 | Gowrappala S. Ramesh Md Pa | Internal Medicine | 929 Gessner Rd Ste 1360, Houston, TX 77024-2469 | 2013-03-21 |
| 1356603914 | Meron A Tesfay | Internal Medicine | 275 Lantern Bend Dr Ste 400, Houston, TX 77090-2841 | 2012-06-11 |
| 1982975405 | Ryan R Barrientos | Internal Medicine | 1200 Binz St Ste 1025, Houston, TX 77004-6961 | 2012-01-13 |
| 1295013241 | Nabil Mansour | Internal Medicine | 7200 Cambridge St Ste 8b, Houston, TX 77030-4202 | 2011-07-25 |
| 1578862959 | John B. Clemmons, Jr., M.d., P.a. | Internal Medicine | 1213 Hermann Dr Ste 420, Houston, TX 77004-7010 | 2011-03-24 |
| 1750681557 | F Lyone Hochman Md Frcpc Pa | Internal Medicine | 6624 Fannin St Ste 2580, Houston, TX 77030-2337 | 2010-10-26 |
| 1508198953 | Mohammade E. Zafarnia, M.d.p.a. | Internal Medicine | 8830 Long Point Rd Ste 808, Houston, TX 77055-3028 | 2010-02-10 |
| 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.