DR. GERARD LAWRENCE GUDERIAN (NPI# 1134127244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134127244 |
| Entity Type | Individual |
| Full Name | DR. GERARD LAWRENCE GUDERIAN |
| Credential | M.D. |
| Practice Address |
1108 Gulf Fwy S Ste 240 League City TX 77573-5100 |
| Practice Telephone | 2815574404 |
| Practice Fax Number | 2815574443 |
| Mailing Telephone | 2815574404 |
| Mailing Fax Number | 2815574443 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J8561 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1108 GULF FWY S STE 240 |
| City | LEAGUE CITY |
| State | TX |
| Zip Code | 77573-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720529852 | Prestige One Medical Supply | Durable Medical Equipment & Medical Supplies | 1108 Gulf Fwy S, Suite #270, League City, TX 77573-5100 | 2017-03-08 |
| 1104193564 | Calder Immediate Care Pllc | Family Medicine | 1108 Gulf Fwy S, Ste 220, League City, TX 77573-5100 | 2011-11-29 |
| 1780984385 | Calder Urgent Care, Pllc | Family Medicine | 1108 Gulf Fwy S, Suite 210, League City, TX 77573-5100 | 2010-10-28 |
| 1306167762 | Sandeep G Patel | Podiatrist | 1108 Gulf Fwy S, Suite 250, League City, TX 77573-5100 | 2010-06-18 |
| 1124255930 | Children's Clinic | Clinic/Center | 1108 Gulf Fwy S, Suite 210, League City, TX 77573-5100 | 2009-06-18 |
| 1609911692 | Foot and Ankle Centers of Texas, Pa | Podiatrist | 1108 Gulf Fwy S, Suite 250, League City, TX 77573-5100 | 2007-02-20 |
| 1013068022 | Frank Neil Land | Nurse Practitioner | 1108 Gulf Fwy S, Suite 230, League City, TX 77573-5100 | 2007-01-16 |
| 1144337585 | Vincent Marion Sorrentino Jr. | Physician Assistant | 1108 Gulf Fwy S, Suite # 230, League City, TX 77573-5100 | 2006-08-23 |
| 1558396465 | Kevin M Prince | Nurse Practitioner | 1108 Gulf Fwy S, Ste 230, League City, TX 77573-5100 | 2006-07-11 |
| 1962437806 | Larry J Settles | Physician Assistant | 1108 Gulf Fwy S, Ste 230, League City, TX 77573-5100 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527306 | Colin Joe Lee | Pharmacist | 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 | 2020-10-28 |
| 1033764931 | Brittany Salinas | Physical Medicine & Rehabilitation | 2205 Colonial Court N, League City, TX 77573 | 2019-08-07 |
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1851863724 | Gina Carter | Durable Medical Equipment & Medical Supplies | 210 S. Hwy 3, Unit B, League City, TX 77573 | 2018-12-17 |
| 1497226393 | Daniel Max & Marcandrea LLC | Optometrist | 3170 Gulf Freeway South, League City, TX 77573 | 2018-12-17 |
| 1972071983 | Chelsie N Chonoski | Nurse Practitioner | 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 | 2018-11-07 |
| 1730660564 | Rebecca Ann Peth | Physical Therapist | 350 N Wesley Dr., Apt 1123, League City, TX 77573 | 2018-08-29 |
| 1912485087 | Sarwat Hussain Zaffer | Dentist | 1620 W Fm 646, Ste D, League City, TX 77573 | 2018-08-01 |
| 1518468651 | Clear Creek Chiropractic Center | Clinic/Center | 624 West Main Ste 102, League City, TX 77573 | 2018-02-23 |
| 1255850848 | Travis William Prothro | Chiropractor | 1620 W. Fm 646, Suite C, League City, TX 77573 | 2017-09-14 |
| Find all providers in zip 77573 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152538 | Dayal Family Medicine Pa | Family Medicine | 3032 Marina Bay Dr Ste 200, League City, TX 77573-4668 | 2020-07-23 |
| 1326607847 | Lindsay Jones | Family Medicine | 1507 W League City Pkwy Ste 200, League City, TX 77573-7340 | 2019-06-08 |
| 1447788369 | Barbara Adame Kim | Family Medicine | 3318 Castle Creek Ct, League City, TX 77573-1887 | 2017-05-23 |
| 1265967806 | Renny Varghese | Family Medicine | 2660 Gulf Fwy S Ste 3, League City, TX 77573-6820 | 2017-04-20 |
| 1700247079 | League City Family Clinic, Pllc | Family Medicine | 1507 West League City Parkway, Suite 200, League City, TX 77573-6768 | 2016-03-15 |
| 1811383029 | Stephanie Crittenden | Family Medicine | 2555 Gulf Fwy S Ste 600, League City, TX 77573 | 2015-04-14 |
| 1417390980 | Hiram Alberto Martinez | Family Medicine | 2660 Gulf Freeway, Utmb Health Primary Care, League City, TX 77573 | 2013-04-15 |
| 1790005148 | Angela Renee Raimer | Family Medicine | 2785 Gulf Fwy S Ste 165, League City, TX 77573-4990 | 2010-06-08 |
| 1225262066 | Marcus Melton Wheeler | Family Medicine | 2240 Gulf Fwy S, Utmb Victory Lakes Urgent Care, League City, TX 77573 | 2009-05-07 |
| 1982880357 | Richard Wendell Walker Jr. | Family Medicine | 4604 Hispania View Dr, League City, TX 77573-1487 | 2008-01-16 |
| Find all providers in LEAGUE CITY | ||||
| City | LEAGUE CITY |
| Zip Code | 77573 |
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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.