DR. MICHAEL BRISCOE JR. (NPI# 1205030806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205030806 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRISCOE JR. |
| Credential | MD |
| Practice Address |
17350 St Lukes Way 310 The Woodlands TX 77384-4167 |
| Mailing Address |
218aw Main St C Belleville IL 62220-1504 |
| Practice Telephone | 9362662630 |
| Practice Fax Number | 9362668521 |
| Mailing Telephone | 9362662630 |
| Mailing Fax Number | 9362668521 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | N5592 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP MEDICAID NUMBER | 094010801 | 01 |
| TX | GROUP MEDICARE NUMBER | 00J21A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033183306 | Michael R Briscoe | Chiropractor | 3601 S Broadway, Suite 200, Edmond, OK 73013-4116 | 2006-02-14 |
| 1922370493 | Michael Alan Briscoe | Counselor | 1450 Battleground Dr, Murfreesboro, TN 37129-1750 | 2012-01-31 |
| 1477568293 | Michael K Briscoe | Optometrist | 1400 Bryan Dr, Suite 303, Durant, OK 74701-2156 | 2006-07-30 |
| 1790740439 | Michael Thomas Briscoe | Pharmacist | 2295 Oak Rd, Snellville, GA 30078-2356 | 2006-04-18 |
| Street Address |
17350 ST LUKES WAY 310 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77384-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919308 | Cgn Epent Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 160, El Paso, TX 79925-3315 | 2020-10-09 |
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1700401072 | Givens Facial Plastic Surgery Pllc | Otolaryngology | 3939 Bee Caves Rd Ste B3, West Lake Hills, TX 78746-6429 | 2020-06-12 |
| 1649811332 | Jorge J Arango Md Pllc | Otolaryngology | 5959 Gateway Blvd W Ste 104, El Paso, TX 79925-3315 | 2019-10-03 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1053883405 | Cosmedic Wellness Centers, Inc | Otolaryngology | 510 E. Hwy 377, Granbury, TX 76048-2556 | 2018-12-26 |
| 1942778253 | Donelson Neal Shannon | Otolaryngology | 2704 Hanover St, Dallas, TX 75225-7922 | 2018-11-05 |
| 1467968867 | Metroplex Ent & Allergy Pllc | Otolaryngology | 2021 N Macarthur Blvd Ste 225, Irving, TX 75061-2219 | 2017-12-20 |
| 1922522804 | East Texas Sinus and Dizziness Center, Pllc | Otolaryngology | 901 Pegues Pl, Longview, TX 75601-4027 | 2017-08-01 |
| 1720437155 | Central Park Ear Nose & Throat LLP Fort Worth | Otolaryngology | 800 8th Ave Ste 618, Fort Worth, TX 76104-2605 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
| City | THE WOODLANDS |
| Zip Code | 77384 |
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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.