ANGELINE DERHAM (NPI# 1255795217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255795217 |
| Entity Type | Individual |
| Full Name | ANGELINE DERHAM |
| Credential | MD |
| Practice Address |
5717 Balcones Dr Austin TX 78731-4203 |
| Practice Telephone | 6153976806 |
| Mailing Telephone | 5123141613 |
| Mailing Fax Number | 5123141661 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | S4460 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6620 Main St, Houston, TX 770302348 | 7137984321 |
| Street Address |
5717 BALCONES DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881048 | Robert Edward Marquis | Ophthalmology | 5717 Balcones Dr, Austin, TX 78731 | 2005-12-13 |
| 1982091674 | Kyla R Aschenbeck | Ophthalmology | 5717 Balcones Dr, Austin, TX 78731-4203 | 2015-04-20 |
| 1114242922 | Tanya Tabassum Khan | Ophthalmology | 5717 Balcones Dr, Austin, TX 78731 | 2010-04-05 |
| 1043414014 | Texan Eye, Pa | Eyewear Supplier (Equipment, not the service) | 5717 Balcones Dr, Austin, TX 78731 | 2007-06-13 |
| 1376616011 | Cecilia R Sanchez | Ophthalmology | 5717 Balcones Dr, Austin, TX 78731 | 2006-11-17 |
| 1437220225 | Texan Eye, Pa | Ophthalmology | 5717 Balcones Dr, Austin, TX 78731 | 2006-11-13 |
| 1295825784 | Yen Dang Nieman | Ophthalmology | 5717 Balcones Dr, Austin, TX 78731 | 2006-10-13 |
| 1336196542 | Blythe E Monheit | Ophthalmology | 5717 Balcones Dr, Austin, TX 78731 | 2006-05-31 |
| 1699752576 | Julia Beth Sargent | Ophthalmology | 5717 Balcones Dr, Austin, TX 78731 | 2005-12-30 |
| 1205813961 | Texan Eye, Pa | Optometrist | 5717 Balcones Dr, Austin, TX 78731 | 2005-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265091300 | Sheila Barbarino, Md Inc. | Ophthalmology | 1100 S Lamar Blvd Ste 2120, Austin, TX 78704-0380 | 2019-06-12 |
| 1073087706 | Laser Sight, Lp | Ophthalmology | 6500 N Mo Pac Expy Ste 2101, Austin, TX 78731-3282 | 2019-01-16 |
| 1205221652 | Aliza Epstein | Ophthalmology | 3705 Medical Pkwy Ste 120, Austin, TX 78705-1022 | 2015-04-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| 1831444934 | Lake Austin Eye Pllc | Ophthalmology | 11614 Bee Caves Rd Ste 110, Austin, TX 78738-5551 | 2012-07-16 |
| 1184982977 | Peter Alan Ryg | Ophthalmology | 5011 Burnet Rd Fl 2, Austin, TX 78756-2653 | 2012-04-30 |
| 1902126105 | Megan Mcree Geloneck | Ophthalmology | 11111 Research Blvd Ste 240, Austin, TX 78759-5264 | 2010-06-10 |
| 1831414333 | Sonja Dieterichs | Ophthalmology | 1102 Carlotta Ln, Austin, TX 78733-1527 | 2010-03-29 |
| 1639311194 | Divya M. Varu | Ophthalmology | 901 Mopac Expy S, Barton Oaks Plaza Iv, Suite 350, Austin, TX 78746 | 2009-03-30 |
| 1669612891 | Craig Charles Kuglen Sr. | Ophthalmology | 1310 Rockcliff Rd, Austin, TX 78746-1205 | 2009-02-27 |
| Find all providers in AUSTIN | ||||
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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.