MDM ASSISTING LLC (NPI# 1124634480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124634480 |
| Entity Type | Organization |
| Organization Name | MDM ASSISTING LLC |
| Practice Address |
14110 Hartford Heights Way Rosharon TX 77583 |
| Practice Telephone | 7133151519 |
| Mailing Telephone | 7133151519 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | MARIO DAVID MATA (MANAGER) |
| Authorized Official Telephone | 7133151519 |
| Authorized Official Credential | LSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14110 HARTFORD HEIGHTS WAY |
| City | ROSHARON |
| State | TX |
| Zip Code | 77583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336494699 | Mario David Mata | Physician Assistant | 14110 Hartford Heights Way, Rosharon, TX 77583 | 2012-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326658303 | Manirakiza Hiyari | Driver | 926 Bright Lotus Lane, Rosharon, TX 77583 | 2020-08-05 |
| 1225653207 | Cosmas Nyong | Licensed Vocational Nurse | 9414 Olive Stone Dr., Iowa Colony, TX 77583 | 2020-06-15 |
| 1518592831 | That's My Tooth Pllc | Clinic/Center | 3244 Meridiana Pkwy, Suite 105, Rosharon, TX 77583 | 2020-03-06 |
| 1144855610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3232 Meridiana Pkwy, Rosharon, TX 77583 | 2020-03-05 |
| 1336617711 | Camecia Euvonne Clark | Counselor | 439 Ashley Falls Lane, Rosharon, TX 77583 | 2018-11-05 |
| 1417458803 | Olaide Ojuri | Registered Nurse | 13104 Spear Trail Ct, Rosharon, TX 77583 | 2018-02-22 |
| 1194181594 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 15027 State Hwy 6, Rosharon, TX 77583 | 2016-01-14 |
| 1205216470 | Deshun Stanley | Nursing Home Administrator | 13108 Grantham Ridge Ct, Rosharon, TX 77583 | 2015-06-03 |
| 1952729337 | Edgar Abenoja Hulipas | Family Medicine | 59 Darrington Road, Darrington State Prision, Rosharon, TX 77583 | 2014-04-02 |
| 1396074167 | Antoya Booker | Pharmacist | 3300 Center Street, Deer Park, TX 77583 | 2009-12-08 |
| Find all providers in zip 77583 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336494699 | Mario David Mata | Physician Assistant | 14110 Hartford Heights Way, Rosharon, TX 77583 | 2012-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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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.