MR. MICAH KELLUM (NPI# 1124583430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124583430 |
| Entity Type | Individual |
| Full Name | MR. MICAH KELLUM |
| Credential | CRNA |
| Practice Address |
18500 Katy Fwy Houston TX 77094-1110 |
| Mailing Address |
30711 Spanish Moss Xing Fulshear TX 77441-3709 |
| Practice Telephone | 8325221000 |
| Mailing Telephone | 7135609519 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP140431 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18500 KATY FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77094-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578636122 | Troy Shannon Peet | Nurse Practitioner | 18500 Katy Fwy, Houston, TX 77094 | 2006-11-15 |
| 1124642053 | Sarah Kristen Sarosdy | Dietitian, Registered | 18500 Katy Fwy, Houston, TX 77094-1110 | 2020-06-06 |
| 1659991602 | Kendalisia Moss | Nurse Practitioner | 18500 Katy Fwy, Houston, TX 77094-1110 | 2020-04-20 |
| 1730709700 | Sung Hwang | Nurse Practitioner | 18500 Katy Fwy, Houston, TX 77094-1110 | 2020-04-20 |
| 1730717216 | Sandra Rocha | Nurse Practitioner | 18500 Katy Fwy, Houston, TX 77094-1110 | 2020-03-30 |
| 1326673468 | Anna Elaine Yap | Registered Nurse | 18500 Katy Fwy, Houston, TX 77094-1110 | 2020-03-09 |
| 1598303554 | Jonathan Frank Sosa | Nurse Practitioner | 18500 Katy Fwy, Houston, TX 77094-1110 | 2019-12-19 |
| 1750932703 | Jessica M. Liu | Registered Nurse | 18500 Katy Fwy, Houston, TX 77094-1110 | 2019-09-20 |
| 1043878374 | Alexander Joachim | Pharmacist | 18500 Katy Fwy, Houston, TX 77094-1110 | 2019-06-01 |
| 1447716519 | Hongwei Fu | Physician Assistant | 18500 Katy Fwy, Houston, TX 77094-1110 | 2019-02-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316591886 | John Walter Warner Jr. | Physical Therapist | 18200 Katy Fwy. Wa.0540.01, Houston, TX 77094 | 2019-08-01 |
| 1104394360 | Brooklyn Bradford | Physical Therapist | 18200 Katy Freeway, Wa 130, Houston, TX 77094 | 2018-11-06 |
| 1063921641 | Michelle Gorman | Chiropractor | 18021 Kingsland Blvd Apt 8103, Houston, TX 77094 | 2017-09-26 |
| 1558749705 | Sima Momin | Internal Medicine | 18400 Katy Fwy Ste 300, Houston, TX 77094 | 2015-05-08 |
| 1659784874 | Nova Pension | Behavioral Analyst | 19030 Waterford Cv, Houston, TX 77094 | 2014-06-05 |
| 1134531361 | Lina M Ching Mdpa | Internal Medicine | 18300 Katy Freeway, Suite 275, Houston, TX 77094 | 2014-05-22 |
| 1942610068 | Nesochi Adimorah | Obstetrics & Gynecology | 18400 Katy Fwy Ste 400, Houston, TX 77094 | 2014-04-28 |
| 1174952584 | Pure Smiles | Dentist | 19235 Katy Freeway South, 300a, Houston, TX 77094 | 2013-11-06 |
| 1134439086 | Monty Arta Aghazadeh | Surgery | 18300 Katy Fwy Ste 325, Houston, TX 77094 | 2010-10-13 |
| 1386972503 | Allan Sobrevians Garcia | Pharmacist | 18400 Katy Fwy Ste 100, Houston, TX 77094 | 2009-11-29 |
| Find all providers in zip 77094 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155887 | Health Guard Anesthesia Services (hgas) | Nurse Anesthetist, Certified Registered | 7741 Tanglewilde St Ste 100, Houston, TX 77036-5565 | 2020-08-18 |
| 1952911661 | Anesthesia Providers of Houston Pllc | Nurse Anesthetist, Certified Registered | 1446 Campbell Rd Ste 290, Houston, TX 77055-4604 | 2020-08-06 |
| 1962042275 | Leah Okoth | Nurse Anesthetist, Certified Registered | 3121 Buffalo Speedway Apt 7409, Houston, TX 77098-1860 | 2020-01-14 |
| 1508332362 | Houston Metro Anesthesia, Pa | Nurse Anesthetist, Certified Registered | 7789 Southwest Fwy Ste 200, Houston, TX 77074-1831 | 2018-10-19 |
| 1346739810 | Amy Celeste Metoyer | Nurse Anesthetist, Certified Registered | 6703 Winton St, Houston, TX 77021-2428 | 2018-05-09 |
| 1255835328 | Greater Heights Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1631 North Loop W Ste 655, Houston, TX 77008-1599 | 2018-03-22 |
| 1073012068 | Brandon C. Cervantes | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd. Ste. 300, Houston, TX 77042 | 2018-02-06 |
| 1639685407 | Momentum Anesthesia Group Pllc | Nurse Anesthetist, Certified Registered | 1233 Campbell Rd Ste 200, Houston, TX 77055-6453 | 2017-12-15 |
| 1245683309 | Crystal Anesthesia Service, Pllc | Nurse Anesthetist, Certified Registered | 950 Threadneedle St Ste 250, Houston, TX 77079-2910 | 2016-07-13 |
| 1972964476 | Josipa Kukucka | Nurse Anesthetist, Certified Registered | 2014 Dennis St, Houston, TX 77004-1322 | 2016-03-10 |
| 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.