ELYSE NICOLE PORTILLO (NPI# 1144563735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144563735 |
| Entity Type | Individual |
| Full Name | ELYSE NICOLE PORTILLO |
| Practice Address |
6621 Fannin St Ste A2210 Houston TX 77030-2374 |
| Practice Telephone | 8328245327 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
S8098 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 265871 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Longwood Ave, Boston, MA 021155724 | 6173556000 |
| Street Address |
6621 FANNIN ST STE A2210 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104002971 | Joyee Goswami Vachani | Pediatrics | 6621 Fannin St Ste A2210, Houston, TX 77030-2303 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457321945 | Greater Houston Emergency Physicians Pllc | Emergency Medicine | 2500 Rice Blvd, Houston, TX 77005-3221 | 2006-01-25 |
| 1750709077 | Claire Gahm | Emergency Medicine | 6621 Fannin St Ste A210, Houston, TX 77030-2358 | 2014-04-03 |
| 1609119015 | Holly Catherine Gillis | Emergency Medicine | 6701 Fannin St, Houston, TX 77030-2608 | 2013-04-03 |
| 1386925154 | Emerging Medical Solutions Inc | Emergency Medicine | 2626 S Loop W, Suite 310, Houston, TX 77054-2654 | 2011-09-07 |
| 1194012948 | Anriada Nassif | Emergency Medicine | 6701 Fannin St, Houston, TX 77030-2608 | 2011-06-30 |
| 1669791620 | Christopher Higgins | Emergency Medicine | 6621 Fannin Street, A2210, Houston, TX 77030 | 2010-05-28 |
| 1508190935 | Sushma Raman Hebbar | Emergency Medicine | 1415 California St, Houston, TX 77006-2602 | 2009-10-02 |
| 1184853301 | Bellaire Emergency Physicians, Pllc | Emergency Medicine | 6030 S Rice Ave Ste C, Houston, TX 77081-2913 | 2009-07-09 |
| 1013113034 | Stephanie Freeman | Emergency Medicine | 1133 John Freeman Blvd, Jjl 4th Floor, Houston, TX 77030-2809 | 2007-06-26 |
| 1124223730 | Elizabeth Lewis Thorpe | Emergency Medicine | 6621 Fannin St, Houston, TX 77030-2358 | 2007-06-15 |
| 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.