TMHPO ORAL & MAXILLOFACIAL SURGERY (NPI# 1174544738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174544738 |
| Entity Type | Organization |
| Organization Name | TMHPO ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
6560 Fannin St Suite 1228 Houston TX 77030-2761 |
| Mailing Address |
6565 Fannin St D200 Houston TX 77030-2703 |
| Practice Telephone | 7134415577 |
| Practice Fax Number | 7137937092 |
| Mailing Telephone | 7137902221 |
| Mailing Fax Number | 7137937092 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2009-10-02 |
| Authorized Official Name | DR. HENRY DIRK SOSTMAN (PRESIDENT & CEO) |
| Authorized Official Telephone | 7137902221 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
6560 FANNIN ST SUITE 1228 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797130 | Terry D Taylor | Dentist | 6560 Fannin St, Ste 614, Houston, TX 77030-2727 | 2005-06-01 |
| 1275182701 | Maria Graziela Putnam | Pharmacist | 6560 Fannin St, Houston, TX 77030-2761 | 2019-09-07 |
| 1205488285 | Danish Kherani | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Houston, TX 77030-2761 | 2019-07-10 |
| 1497216477 | Sanaa A Karim | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Houston, TX 77030-2761 | 2019-03-30 |
| 1477070944 | Line Kastrup Hinojosa | Nurse Practitioner | 6560 Fannin St, Houston, TX 77030-2761 | 2017-08-25 |
| 1669905410 | Bradley Steven Daniels | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, #900, Houston, TX 77030-2761 | 2017-04-09 |
| 1609308279 | Samuel Kwabena Asante | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Scurlock Tower, 9th Floor (st944), Houston, TX 77030-2761 | 2017-04-01 |
| 1437680204 | Kenan Celtik | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Suite 2100, Houston, TX 77030-2761 | 2017-03-23 |
| 1124568324 | Samantha Boggs | Nurse Practitioner | 6560 Fannin St, Suite 2050, Houston, TX 77030-2761 | 2017-03-07 |
| 1518419969 | Taryn Marie Sheldon | Physician Assistant | 6560 Fannin St, Suite 1842, Houston, TX 77030-2761 | 2016-11-02 |
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| 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 |
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| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487997813 | Amir All-atabakhsh | Oral & Maxillofacial Surgery | 2402 Rice Blvd Ste C, Houston, TX 77005-3203 | 2013-04-04 |
| 1891923843 | Blake Dyson Maida | Oral & Maxillofacial Surgery | 7500 San Felipe St Ste 300, Houston, TX 77063-1716 | 2009-06-29 |
| 1942352612 | Oscar Domingo Maldonado | Oral & Maxillofacial Surgery | 6560 Fannin St Ste 1600, Houston, TX 77030-2734 | 2007-01-16 |
| 1033144209 | Jaime Gateno | Oral & Maxillofacial Surgery | 6560 Fannin St Ste 1280, Houston, TX 77030 | 2006-07-12 |
| 1356346613 | Thomas Maurice Weil | Oral & Maxillofacial Surgery | 2450 Fondren Rd, Ste 320, Houston, TX 77063-2320 | 2005-06-14 |
| 1033603030 | Marcus Ryan Gillon | Oral & Maxillofacial Surgery | 7500 Cambridge Street, Suite 6510, Houston, TX 77054 | 2018-06-22 |
| 1851774558 | Mathieu S.g. Carrier | Oral & Maxillofacial Surgery | 7500 Cambridge St Ste 6510, Houston, TX 77054-2032 | 2015-06-30 |
| 1316234222 | Michael Fei Huang | Oral & Maxillofacial Surgery | 6560 Fannin St Ste 1280, Houston, TX 77030-2753 | 2011-06-30 |
| 1518110329 | Jonathan W Shum | Oral & Maxillofacial Surgery | 6560 Fannin St Ste 1900, Houston, TX 77030-2785 | 2008-10-24 |
| 1780761585 | Sharon S Peterson | Oral & Maxillofacial Surgery | 12121 Richmond Ave, Ste 316, Houston, TX 77082 | 2006-11-01 |
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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.