DONNELL KAJAUN CARSON (NPI# 1184902165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184902165 |
| Entity Type | Individual |
| Full Name | DONNELL KAJAUN CARSON |
| Credential | PA-C |
| Practice Address |
17270 Red Oak Dr Suite 200 Houston TX 77090-2618 |
| Mailing Address |
Po Box 4356 Dept. 665 Houston TX 77210-4356 |
| Practice Telephone | 2814406960 |
| Practice Fax Number | 2814406205 |
| Mailing Telephone | 2814406960 |
| Mailing Fax Number | 2814406205 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2012-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA07043 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAX ID # | 741889584 | 01 |
| TX | DPS | B0178864 | 01 |
| TX | DEA | MC2343109 | 01 |
| TX | TEXAS LICENSE | PA07043 | 01 |
| Street Address |
17270 RED OAK DR SUITE 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110222 | Michael S George | Orthopaedic Surgery | 17270 Red Oak Dr, Suite 200, Houston, TX 77090-2632 | 2005-11-08 |
| 1689048753 | William Dang | Physical Therapist | 17270 Red Oak Dr, Houston, TX 77090-2618 | 2015-11-30 |
| 1336568690 | Breanna Joyce Ellen Randolph | Physician Assistant | 17270 Red Oak Dr, Suite 200, Houston, TX 77090-2618 | 2014-04-15 |
| 1528331436 | Avnie Patel Malani | Physician Assistant | 17270 Red Oak Dr, Suite 200, Houston, TX 77090-2618 | 2012-02-23 |
| 1649575622 | Neil Christopher Dunleavy | Orthopaedic Surgery | 17270 Red Oak Dr, Suite 200, Houston, TX 77090-2618 | 2011-01-21 |
| 1083935449 | Melissa Phillip | Physical Therapist | 17270 Red Oak Dr, Suite 200, Houston, TX 77090-2618 | 2010-06-18 |
| 1932424751 | Mayur Bhagvanji Kanjia | Anesthesiology | 17270 Red Oak Dr, Suite 200, Houston, TX 77090-2618 | 2010-04-05 |
| 1326371576 | Brenda Marie Herrera-wolf | Physical Therapist | 17270 Red Oak Dr, Suite 200, Houston, TX 77090-2618 | 2009-09-04 |
| 1013175900 | Timothy Joseph Miller | Orthopaedic Surgery | 17270 Red Oak Dr, Suite 200, Houston, TX 77090-2618 | 2008-05-28 |
| 1407027329 | Select Physical Therapy Texas Limited Partnership | Durable Medical Equipment & Medical Supplies | 17270 Red Oak Dr, Ste 180, Houston, TX 77090-2618 | 2008-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| 1306453659 | Christine Michelle Serewis - Pond | Physician Assistant | 950 Threadneedle St # 282, Houston, TX 77079-2925 | 2020-09-29 |
| 1902412828 | Chen-ho Yang | Physician Assistant | 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 | 2020-09-16 |
| 1437769833 | Aviva Tziporah Rogozen | Physician Assistant | 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 | 2020-07-31 |
| 1417575671 | Harmeet Kaur | Physician Assistant | 9601 Jones Rd Ste 238, Houston, TX 77065-4774 | 2020-07-13 |
| 1780201939 | Evelyn Oliva | Physician Assistant | 4943 Brenner St, Houston, TX 77022-2536 | 2020-07-02 |
| 1093330722 | Stephanie Kochuparambil | Physician Assistant | 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 | 2020-06-09 |
| 1376171587 | Samad Syed Ali | Physician Assistant | 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 | 2020-04-01 |
| 1235765660 | Samantha Salcedo | Physician Assistant | 6651 Main St Ste 1420, Houston, TX 77030-2351 | 2020-03-17 |
| 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.