NORTHSTAR PCP NETWORK, LLC (NPI# 1134579303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134579303 |
| Entity Type | Organization |
| Organization Name | NORTHSTAR PCP NETWORK, LLC |
| Other Organization Name | PRIMECARE MSO |
| Practice Address |
2918 San Jacinto St Suite 150 Houston TX 77004-2708 |
| Mailing Address |
4114 Sablemist Ct Houston TX 77014-2032 |
| Practice Telephone | 7347096477 |
| Mailing Telephone | 7134783313 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | ARLEY GONZALEZ SR. (CEO) |
| Authorized Official Telephone | 7134783313 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHSTAR PCP NETWORK, LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| PrimeCare MSO | Doing Business As Name - Organization |
| Street Address |
2918 SAN JACINTO ST SUITE 150 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831232149 | Minu Rx Ltd | Pharmacy | 2918 San Jacinto St, Houston, TX 77004-2708 | 2007-02-15 |
| 1619412939 | Prime Surgitech LLC | Clinic/Center | 2918 San Jacinto St, Houston, TX 77004-2708 | 2016-12-21 |
| 1295282184 | Bounce Rehabilitation and Wellness LLC | Chiropractor | 2918 San Jacinto St, Suite 100, Houston, TX 77004-2708 | 2016-09-08 |
| 1003153222 | Durga P. Sunkara, Md, P.a. | Internal Medicine | 2918 San Jacinto St, 200, Houston, TX 77004-2708 | 2013-01-08 |
| 1205134087 | Avant Medical Group, Pa | Chiropractor | 2918 San Jacinto St, Suite 200, Houston, TX 77004-2708 | 2011-03-03 |
| 1023311230 | Nisal Corporation | Psychologist | 2918 San Jacinto St, Suite 200, Houston, TX 77004-2708 | 2010-12-09 |
| 1750618369 | Kristy Sheppard | Pharmacist | 2918 San Jacinto St, Houston, TX 77004-2708 | 2009-11-03 |
| 1124222740 | Lee A Nickel | Physical Therapist | 2918 San Jacinto St, Houston, TX 77004-2708 | 2007-06-14 |
| 1982815775 | Chartwell Distributors Inc | Durable Medical Equipment & Medical Supplies | 2918 San Jacinto St, Houston, TX 77004-2708 | 2007-05-24 |
| 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 | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849494 | Face To Face Healthcare Services LLC | Preferred Provider Organization | 2616 S Loop W Ste 300, Houston, TX 77054-2672 | 2019-09-06 |
| 1083187223 | Chinese Community Center, Inc. | Preferred Provider Organization | 9800 Town Park Dr, Houston, TX 77036-2316 | 2019-01-10 |
| 1013422492 | Cicero L Sadler | Preferred Provider Organization | 4001 San Jacinto St, Houston, TX 77004-4021 | 2017-12-07 |
| 1255866950 | Guardian of Angels Community Living | Preferred Provider Organization | 12703 Jones Rd, 1115, Houston, TX 77070-4676 | 2017-05-01 |
| 1356874622 | Urban Line LLC | Preferred Provider Organization | 2500 Woodland Park Dr Apt C304, Houston, TX 77077-2278 | 2017-04-04 |
| 1841741428 | Its In My Heart | Preferred Provider Organization | 6502 Nunn St, Houston, TX 77087-5932 | 2016-10-19 |
| 1134573264 | Forever Young Adult Care | Preferred Provider Organization | 12801 Roydon Dr. Apt 2215, Houston, TX 77034 | 2016-04-14 |
| 1740649532 | D & P Business Solutions | Preferred Provider Organization | 5816 Tidwell Rd, Houston, TX 77016-4744 | 2016-02-22 |
| 1952777401 | Physicians Aco, LLC | Preferred Provider Organization | 1900 North Loop W Ste 400, Houston, TX 77018-8119 | 2015-08-19 |
| 1619364593 | Silver Lining Acupuncture and Oriental Medicine, Pllc | Preferred Provider Organization | 2600 Gessner Rd Ste 275, Houston, TX 77080-3898 | 2015-04-18 |
| 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.