JEROME L YAKLIC (NPI# 1235164476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235164476 |
| Entity Type | Individual |
| Full Name | JEROME L YAKLIC |
| Credential | MD |
| Practice Address |
1005 Harborside Drive Galveston TX 77555-2722 |
| Mailing Address |
301 University Blvd Galveston TX 77555-5303 |
| Practice Telephone | 4097729507 |
| Practice Fax Number | 4097475570 |
| Mailing Telephone | 4097721957 |
| Mailing Fax Number | 9372457999 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | S6330 | TX | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 35-075267 | OH | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 4301059625 | MI | Allopathic & Osteopathic Physicians |
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
4301059625 | MI | Allopathic & Osteopathic Physicians |
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
35-075267 | OH | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
S6330 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 1603210171 | 01 |
| MI | 4645433 | 05 |
| Street Address |
1005 HARBORSIDE DRIVE |
| City | GALVESTON |
| State | TX |
| Zip Code | 77555-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861871204 | Matthew Schilling | Internal Medicine | 1005 Harborside Drive, Galveston, TX 77550-7426 | 2015-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1700362670 | Nidal Alhosainat | Internal Medicine | 301 University Blvd, 4.200 John Sealy Annex, Galveston, TX 77555 | 2018-07-13 |
| 1275915282 | Murtaza Mazhar | Internal Medicine | 301 University Blvd Cardiovascular Disease, Galveston, TX 77555 | 2015-06-25 |
| 1124469531 | Nisarg Shaileshbhai Shah | Internal Medicine | 400 Harborside Dr Suite #100, Endocrinology, Galveston, TX 77555 | 2013-07-13 |
| 1912260860 | Mohammed Fathi Zaidan | Internal Medicine | University of Texas Medical, 301 University Boulevard, Galveston, TX 77555 | 2012-06-15 |
| 1639465925 | Justin Blinn | Anesthesiology | 301 University Blvd # 2-a, Galveston, TX 77555 | 2011-06-24 |
| 1255532982 | Miguel Mauricio Cabada Samame | Internal Medicine | 301 University Boulevard Rt 0435, Galveston, TX 77555 | 2007-05-30 |
| 1154945608 | Elliot Blankespoor | Anesthesiology | 301 University Boulevard, 5.504 Jennie Sealy Hospital, Galveston, TX 77555 | 2020-06-01 |
| 1174144216 | Mariam Choudhry Khan | Family Medicine | 301 University Blvd, Galveston, TX 77555 | 2020-04-29 |
| 1437713633 | Renae Bridges | Nurse Practitioner | 301 University Blvd, Galveston, TX 77555 | 2019-04-24 |
| Find all providers in zip 77555 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306161112 | Casey Lynn Kinman | Obstetrics & Gynecology | 2001 N Macarthur Blvd Ste 425, Irving, TX 75061-2299 | 2010-04-05 |
| 1497999197 | Rebecca James | Obstetrics & Gynecology | 400 Rosalind Redfern Grover Pkwy Ste 230, Midland, TX 79701-5856 | 2009-04-24 |
| 1609842178 | Nina H Dereska | Obstetrics & Gynecology | 17510 W. Grand Parkway S., Suite #500, Houston, TX 77479 | 2006-02-24 |
| 1629685557 | Highland Gynecology Pllc | Obstetrics & Gynecology | 1680 Antilley Rd Ste 350, Abilene, TX 79606-5266 | 2020-09-24 |
| 1245889617 | Rebecca James Md Pllc | Obstetrics & Gynecology | 400 Rosalind Redfern Grover Pkwy Ste 230, Midland, TX 79701-5856 | 2019-09-09 |
| 1811365802 | South Texas Urogynecology Pllc | Obstetrics & Gynecology | 540 Madison Oak Dr, Suite 570, San Antonio, TX 78258-3943 | 2015-09-08 |
| 1609268960 | The Center for Womens Sexual Health, Inc | Obstetrics & Gynecology | 1315 St Joseph Pkwy, Suite 1306, Houston, TX 77002-8233 | 2015-02-24 |
| 1518364223 | Women's Pelvic Restorative Center, Pllc | Obstetrics & Gynecology | 7900 Fannin St, Suite 4000, Houston, TX 77054-2934 | 2014-11-24 |
| 1245677582 | Rachel Alice High | Obstetrics & Gynecology | 911 W 38th St Ste 202, Austin, TX 78705-1107 | 2013-05-28 |
| 1366527392 | Gokhan Kilic | Obstetrics & Gynecology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-26 |
| 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.