MS. CONCEPCION RAVELO DIAZ-ARRASTIA (NPI# 1104986553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104986553 |
| Entity Type | Individual |
| Full Name | MS. CONCEPCION RAVELO DIAZ-ARRASTIA |
| Credential | M.D. |
| Practice Address |
1213 Hermann Dr Ste 675 Houston TX 77004-7083 |
| Practice Telephone | 7137568555 |
| Practice Fax Number | 7137568305 |
| Mailing Telephone | 7137568555 |
| Mailing Fax Number | 7137568305 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
J1651 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 124926003 | 05 |
| Street Address |
1213 HERMANN DR STE 675 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-7083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154371813 | Elizabeth T Bonefas | Surgery | 1213 Hermann Dr Ste 675, Houston, TX 77004-7083 | 2006-05-11 |
| 1699387845 | Sheila Blanco | Specialist/Technologist, Other | 1213 Hermann Dr Ste 675, Houston, TX 77004-7083 | 2020-08-19 |
| 1780876201 | Elizabeth Bonefas, Md, Pa | Surgery | 1213 Hermann Dr Ste 675, Houston, TX 77004-7083 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1548827496 | Jeffrey Andrew How | Obstetrics & Gynecology | 1155 Herman Pressler, Unit 1362, Houston, TX 77030-4000 | 2019-05-28 |
| 1194143776 | Monica Avila | Obstetrics & Gynecology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2014-04-01 |
| 1144653239 | Medcenter Gyn Services Pllc | Obstetrics & Gynecology | 7580 Fannin St, Suite 335d, Houston, TX 77054-1900 | 2013-08-13 |
| 1578828703 | Anthony Costales | Obstetrics & Gynecology | 6431 Fannin St, Suite 3.214, Houston, TX 77030-1501 | 2012-07-13 |
| 1700166147 | Gyn Oncology of Houston Pllc | Obstetrics & Gynecology | 7580 Fannin St, Ste 335d, Houston, TX 77054-1900 | 2011-08-17 |
| 1326366691 | Anuj Suri | Obstetrics & Gynecology | 6550 Fannin St, Suite 901, Houston, TX 77030-2717 | 2010-05-12 |
| 1871818534 | Lauren Patterson Cobb | Obstetrics & Gynecology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2010-04-06 |
| 1750606638 | Jolyn Sharpe Taylor | Obstetrics & Gynecology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2010-04-02 |
| 1265765812 | Rudy S Suidan | Obstetrics & Gynecology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2009-09-15 |
| 1285864173 | Tracilyn R Hall | Obstetrics & Gynecology | 2525 Holly Hall St, 5th Floor, Houston, TX 77054-4124 | 2009-07-26 |
| 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.