MEDGEN (NPI# 1205280682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205280682 |
| Entity Type | Organization |
| Organization Name | MEDGEN |
| Practice Address |
2450 Holcombe Blvd Houston TX 77021-2039 |
| Practice Telephone | 7137983651 |
| Practice Fax Number | 7137985211 |
| Mailing Telephone | 7137983651 |
| Mailing Fax Number | 7137985211 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | MR. GARY HUFF (PRESIDENT) |
| Authorized Official Telephone | 7137982035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDGENE LABS | 1006 32nd Ave Ste 104, Brookings, SD 57006-4728 |
| Virginia Business Entities | MedGenerations LLC | Low & Cohen Pllc, 2999 N 44th St #550, Phoenix, Arizona 85018 |
| Oregon Corporations, Companies and Business Names | MEDGENERATIONS, LLC | 10680 Treena St, Mail Stop 5, San Diego, CA 92131 |
| New York State Corporations | MEDGENERATIONS, LLC | 111 Eighth Avenue #13, New York, New York 10011 |
| Vermont Business Registrations | MEDGENERATIONS, LLC | 10680 Treena St., Mail Stop 5, San Diego, CA 92131 |
| Iowa Business Entities | MEDGENERATIONS, LLC | 10680 Treena St., Mail Stop 5, San Diego, CA 92131 |
| Colorado Business Entities | MedGenerations, LLC | 10181 Scripps Gateway Ct., San Diego, CA 92131 |
| Massachusetts Corporations | MEDGENERATIONS, LLC | 10680 Treena St., Mail Stop 5, San Diego, CA 92131 |
| Connecticut Business Registrations | MEDGENERATIONS, LLC | 10680 Treena St., Mail Stop 5, San Diego, CA 92131 |
| Oklahoma Business Registrations | MEDGENERATIONS, LLC | 10680 Treena St., Mail Stop 5, San Diego, CA 92131 |
| Street Address |
2450 HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77021-2039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528009578 | Angelo P Giardino | Pediatrics | 2450 Holcombe Blvd, Suite 34l, Houston, TX 77021-2039 | 2006-06-09 |
| 1952868952 | Health Hub Physicians | Clinic/Center | 2450 Holcombe Blvd, Houston, TX 77021-2039 | 2019-02-26 |
| 1699257303 | Paxman Us, Inc | Durable Medical Equipment & Medical Supplies | 2450 Holcombe Blvd, Tmc Innovation Suite X, Houston, TX 77021-2039 | 2018-08-30 |
| 1992255749 | Julianna Hogan | Psychologist | 2450 Holcombe Blvd, Houston, TX 77021-2039 | 2016-10-05 |
| 1629457148 | Sandra Peacock | Genetic Counselor, MS | 2450 Holcombe Blvd, Houston, TX 77021-2039 | 2015-05-29 |
| 1598157943 | Martha D.k. Lipovac-dew | Social Worker | 2450 Holcombe Blvd, Suite 014, Houston, TX 77021-2039 | 2015-02-23 |
| 1013122944 | Lia C Rodriguez | Pediatrics | 2450 Holcombe Blvd, Suite 34l, Nb-8391, Houston, TX 77021-2039 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409331 | Chinyere Eigege | Social Worker | 5334 Keystone St, Houston, TX 77021 | 2020-05-18 |
| 1821625815 | Essential Body Bar, Pllc | Nurse Practitioner | 5751 Blythwood Street, Suite 200, Houston, TX 77021 | 2020-03-27 |
| 1699311944 | Devoted Angels LLC | Meals | 7807 Tierwester Street, Houston, TX 77021 | 2019-11-21 |
| 1013495696 | Ethel Row, LLC | Counselor | 1 Hermann Park Court, Unit 645, Houston, TX 77021 | 2018-08-05 |
| 1023594504 | Daniel Todd Jankowski | Dentist | 6102 Scott St, Houston, TX 77021 | 2018-07-17 |
| 1861988164 | Houston Area Community Services, Inc | Clinic/Center | 4405 Griggs Road, Houston, TX 77021 | 2018-07-10 |
| 1942739123 | Optimcurea LLC | Internal Medicine | 2440 D Charleston Street, Houston, TX 77021 | 2017-06-09 |
| 1699229138 | Angela Dobbins | Psychologist | 5400 Griggs Rd Ste 101, Houston, TX 77021 | 2016-08-13 |
| 1194180877 | Alina Leigh | Nurse Practitioner | 5737 Cullen Suite 200, Houston, TX 77021 | 2015-12-22 |
| 1336514751 | Joshua In Home Quality Health Care | In Home Supportive Care | 3822 Southlawn Street, 3, Houston, TX 77021 | 2015-12-10 |
| Find all providers in zip 77021 | ||||
| Taxonomy Code | 207ZP0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Molecular Genetic Pathology |
| A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477971414 | Richard Kenneth Yang | Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2014-04-05 |
| 1457609190 | Brian Naidrin Chang | Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2012-08-28 |
| 1619248671 | Tricia Lyzanne Peters | Pathology | 1140 Business Center Dr Ste 370, Houston, TX 77043 | 2012-01-23 |
| 1952494726 | Zhuang Zuo | Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2006-10-02 |
| 1295772416 | James Versalovic | Pathology | 6621 Fannin St, Houston, TX 77030-2399 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245885854 | Bien-willner Physicians Grp Pa | Pathology | 2700 Technology Forest Blvd Ste 112, The Woodlands, TX 77381-3903 | 2019-08-09 |
| 1790084598 | George Emmett Miles Jr. | Pathology | 18 Lyreleaf Pl, The Woodlands, TX 77382-1542 | 2011-03-18 |
| 1962729194 | Amanda Lynn Profit | Pathology | 7777 Forest Ln Ste A-200, Dallas, TX 75230-2571 | 2010-04-28 |
| 1184711582 | Kathleen S Wilson | Pathology | 6000 Harry Hines Blvd, Hamon Bldg, Room Na2 508a, Dallas, TX 75390-0001 | 2006-10-06 |
| 1669416806 | Peter Bryant-greenwood | Pathology | 5909 West Loop S Ste 330, Bellaire, TX 77401-2498 | 2006-06-16 |
| 1841587771 | Alan Frederick Brown | Pathology | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2011-06-29 |
| 1578881413 | Jennifer Robbin Rushton | Pathology | 3445 Executive Center Drive, Suite 250, Austin, TX 78731-1678 | 2010-05-15 |
| 1568648392 | Shelby Melton | Pathology | 4500 S Lancaster Rd, Pathology and Lab Medicine Service 113, Dallas, TX 75216-7167 | 2008-01-10 |
| 1215050497 | Thomas A Adams Jr. | Pathology | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2007-04-10 |
| 1386716595 | Michael Gene Rhode | Pathology | 301 University Blvd, Galveston, TX 77555-5529 | 2006-11-14 |
| Find all providers with the same taxonomy | ||||
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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.