DR. KAREN QUINTAVELL RADCLIFFE (NPI# 1255535829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255535829 |
| Entity Type | Individual |
| Full Name | DR. KAREN QUINTAVELL RADCLIFFE |
| Other Name | DR. KAREN QUINTAVELL LOOP/DESCOUTEAUX |
| Credential | M.D. |
| Practice Address |
201 Enterprise Avenue Suite 800 League City TX 77573 |
| Practice Telephone | 8328480444 |
| Mailing Telephone | 8328480444 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
P1391 | TX | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
BP1-0026309 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MYUTMB 3879138231-COMMERCIAL NUMBER | 3879138231 | 01 |
| Street Address |
201 ENTERPRISE AVENUE SUITE 800 |
| City | LEAGUE CITY |
| State | TX |
| Zip Code | 77573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527306 | Colin Joe Lee | Pharmacist | 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 | 2020-10-28 |
| 1033764931 | Brittany Salinas | Physical Medicine & Rehabilitation | 2205 Colonial Court N, League City, TX 77573 | 2019-08-07 |
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1851863724 | Gina Carter | Durable Medical Equipment & Medical Supplies | 210 S. Hwy 3, Unit B, League City, TX 77573 | 2018-12-17 |
| 1497226393 | Daniel Max & Marcandrea LLC | Optometrist | 3170 Gulf Freeway South, League City, TX 77573 | 2018-12-17 |
| 1972071983 | Chelsie N Chonoski | Nurse Practitioner | 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 | 2018-11-07 |
| 1730660564 | Rebecca Ann Peth | Physical Therapist | 350 N Wesley Dr., Apt 1123, League City, TX 77573 | 2018-08-29 |
| 1912485087 | Sarwat Hussain Zaffer | Dentist | 1620 W Fm 646, Ste D, League City, TX 77573 | 2018-08-01 |
| 1518468651 | Clear Creek Chiropractic Center | Clinic/Center | 624 West Main Ste 102, League City, TX 77573 | 2018-02-23 |
| 1255850848 | Travis William Prothro | Chiropractor | 1620 W. Fm 646, Suite C, League City, TX 77573 | 2017-09-14 |
| Find all providers in zip 77573 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790179398 | Elev Medical Center, Pllc | Family Medicine | 201 Enterprise Ave, Suite 800, League City, TX 77573-3082 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215586532 | Salvation' International Mission | Family Medicine | 1341 County Road 557, Farmersville, TX 75442-7081 | 2019-09-09 |
| 1598036642 | James Thomas Payte | Family Medicine | 260 Panther Xing, Wimberley, TX 78676-5767 | 2012-01-21 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1831246842 | Jeffrey L Butts | Family Medicine | 37131 Interstate 10 W, Suite 101, Boerne, TX 78006-8989 | 2007-01-04 |
| 1942373816 | Texas Avenue Medical Clinic | Family Medicine | 1703 E 29th Street, Bryan, TX 77802 | 2006-11-16 |
| 1881783413 | Edward P Tyson | Family Medicine | 3811 Bee Caves Rd, Ste 200, Austin, TX 78746-6459 | 2006-10-12 |
| 1780693911 | Robert M. Leath | Family Medicine | 3033 North Gessner Drive, Suite 1106, Houston, TX 77080 | 2006-08-05 |
| 1639114176 | Samuel B. Ganz | Family Medicine | 13509 Camino De Plata Ct, Corpus Christi, TX 78418-6966 | 2006-06-18 |
| 1255329694 | Katherine H Thompson | Family Medicine | 6300 Richmond Ave, Houston, TX 77057 | 2005-10-10 |
| 1568460962 | Carroll Wayne Thornburg | Family Medicine | 725 S Mesa Hills Dr, Suite 1, Bldg. 1, El Paso, TX 79912-5568 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
| City | LEAGUE CITY |
| Zip Code | 77573 |
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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.