SAMUAL ROBERT TODD (NPI# 1104858281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104858281 |
| Entity Type | Individual |
| Full Name | SAMUAL ROBERT TODD |
| Credential | MD |
| Practice Address |
6550 Fannin St Suite 1601 Houston TX 77030-2717 |
| Mailing Address |
6550 Fannin St Suite 1661a Houston TX 77030-2717 |
| Practice Telephone | 7134415155 |
| Mailing Telephone | 7134415155 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
L1482 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8V8605 | 01 |
| TX | 157521902 | 05 | |
| TX | MEDICARE RAILROAD | P00351944 | 01 |
| TX | CSHCN (MEDICAID) | 157521903 | 01 |
| Street Address |
6550 FANNIN ST SUITE 1601 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365452 | Donald T. Donovan | Otolaryngology | 6550 Fannin St, Houston, TX 77030-2717 | 2005-06-08 |
| 1386268738 | Elisabeth Anne Plotner | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-06-02 |
| 1750901773 | Stephenia Chiazoka Nwogu | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-04-20 |
| 1174152086 | Okechukwu Onuma Okidi | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2020-04-02 |
| 1497396808 | Brandon V Barrera | Nurse Practitioner | 6550 Fannin St, Houston, TX 77030-2717 | 2019-10-07 |
| 1588215008 | Aaron Joel Spooner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6550 Fannin St, Houston, TX 77030-2717 | 2019-09-25 |
| 1376109785 | Paul Haddad | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2019-05-13 |
| 1275095325 | Jerica Podrat | Student in an Organized Health Care Education/Training Program | 6550 Fannin St, Houston, TX 77030-2717 | 2019-04-05 |
| 1205318235 | William Henry Orme | Psychologist | 6550 Fannin St, Smith Tower, Suite 2509, Houston, TX 77030 | 2018-09-06 |
| 1922580661 | Ugochi Raina Ukachukwu | Registered Nurse | 6550 Fannin St, Houston, TX 77030-2717 | 2018-08-29 |
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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 | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932149010 | James Gordon Cushman | Surgery | 18101 Point Lookout Dr Apt 103, Houston, TX 77058-3568 | 2006-06-07 |
| 1124438072 | Nestor Arita | Surgery | 1 Baylor Plz, 404d, Houston, TX 77030-3411 | 2014-04-30 |
| 1295767374 | Laura Jane Moore | Surgery | 6550 Fannin St, Suite 1601, Houston, TX 77030-2717 | 2006-07-07 |
| 1558391623 | Charles Samuel Cox Jr. | Surgery | 6410 Fannin St, Suite 950, Houston, TX 77030-3000 | 2006-07-04 |
| 1801825575 | John R Potts IIi | Surgery | 6410 Fannin St, 1400, Houston, TX 77030-3000 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730418898 | Clarisse Djukom | Surgery | 3102 69th St, Galveston, TX 77551-2191 | 2009-12-18 |
| 1851528335 | Erich Paul Gerhardt | Surgery | 910 E Houston St Ste 530, Tyler, TX 75702-8366 | 2009-06-11 |
| 1588752380 | Octavio Javier Garcia Sr. | Surgery | 822 Kinney St, Corpus Christi, TX 78401-3006 | 2006-10-10 |
| 1154355626 | David Lawrence Smith | Surgery | 4001 W 15th St Ste 425, Plano, TX 75093-5848 | 2006-07-10 |
| 1710977525 | Lorne Howar Blackbourne | Surgery | 2300 Round Rock Ave Ste 201, Round Rock, TX 78681-4026 | 2005-10-24 |
| 1811997059 | Scott H Norwood | Surgery | 1020 E Idel St, Tyler, TX 75701-2024 | 2005-07-29 |
| 1871837377 | William Benedict Norbury | Surgery | 815 Market St, Shriners Hospitals for Children - Galveston, Galveston, TX 77550-2725 | 2012-11-21 |
| 1932469178 | Anthony Cahill | Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2012-05-22 |
| 1174815765 | Kara Monday | Surgery | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2011-05-14 |
| 1306157110 | Vincente Scott Nelson | Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2010-06-25 |
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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.