VISION PARK CLINICAL GROUP, LLC (NPI# 1255726758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255726758 |
| Entity Type | Organization |
| Organization Name | VISION PARK CLINICAL GROUP, LLC |
| Practice Address |
119 Vision Park Blvd Shenandoah TX 77384-3001 |
| Practice Telephone | 2819007590 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |
| Authorized Official Name | SABRINA LAHIRI (MANAGER) |
| Authorized Official Telephone | 2819009750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
119 VISION PARK BLVD |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881909513 | Shenandoah Surgical Associates LLC | Clinic/Center | 119 Vision Park Blvd, Shenandoah, TX 77384-3001 | 2010-08-18 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649531609 | Yee Plastic Surgery, Pllc | Plastic Surgery | 9201 Pinecroft Dr, 2nd Floor, Shenandoah, TX 77380-3222 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059063 | Joseph Peter Corkum | Plastic Surgery | 1400 Pressler St Unit 1488, Houston, TX 77030-3722 | 2020-10-06 |
| 1780212829 | Kendall R Roehl Md Pllc | Plastic Surgery | 450 W Medical Center Blvd Ste 202, Webster, TX 77598-4229 | 2020-04-01 |
| 1275184871 | Dallas Premier Plastic Surgery, P.l.l.c. | Plastic Surgery | 8144 Walnut Hill Ln Ste 901, Dallas, TX 75231-4386 | 2019-09-25 |
| 1447802798 | Michael Ciaravino, Md Pa | Plastic Surgery | 3700 Buffalo Speedway Ste 850, Houston, TX 77098-3705 | 2019-07-16 |
| 1437617255 | Westlake Dermatology, Pa | Plastic Surgery | 2132 Bissonnet St, Houston, TX 77005-1508 | 2019-03-11 |
| 1528530326 | Peter George Dziewulski | Plastic Surgery | Utmb 301 University Boulevard 6.146 John Sealy Annex, Galveston, TX 77555-0001 | 2018-12-19 |
| 1225504491 | Beleza Surgery Center LLC | Plastic Surgery | 9899 Towne Lake Pkwy Ste 200, Cypress, TX 77433-6838 | 2018-10-15 |
| 1104311901 | Zeynep Deniz Akdeniz Dogan | Plastic Surgery | 1400 Pressler St The University of Texas Md Anderson Ca, Unit 1488, Houston, TX 77030 | 2018-06-25 |
| 1730604992 | Sarah A Frommer Medical Pllc | Plastic Surgery | 11412 Bee Caves Rd Ste 300, Austin, TX 78738-5515 | 2017-08-09 |
| 1992220180 | Johnny U. Franco, Md, Pa | Plastic Surgery | 3445 Executive Center Dr Ste 213, Austin, TX 78731-1743 | 2017-08-08 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| 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.