A. MOHAMMAD KHAN, MD (NPI# 1285063776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285063776 |
| Entity Type | Organization |
| Organization Name | A. MOHAMMAD KHAN, MD |
| Practice Address |
100 Medical Dr Lake Jackson TX 77566-5674 |
| Practice Telephone | 9794760795 |
| Mailing Telephone | 9794760795 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Authorized Official Name | DR. AFZAL MOHAMMAD KHAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9794178022 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 208M00000X | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1834301 | 05 |
| Street Address |
100 MEDICAL DR |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316497381 | U S Anesthesia Partners of Texas | Anesthesiology | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-10-13 |
| 1588118194 | Brian Chang | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-08-11 |
| 1720441561 | Anthonia Ada Abanobi | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2016-03-30 |
| 1366814089 | Astral Emergency Physicians, Pllc | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-21 |
| 1215308143 | Kristin Bravenec Jackson | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-19 |
| 1295106201 | Rhapsody Emergency Physicians, Pplc | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-16 |
| 1336520113 | Tasha Chaoman | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-06-17 |
| 1457757890 | Joshua Roszak | Physician Assistant | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-11-12 |
| 1013321819 | Laura Day Ellender | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-06-19 |
| 1083034771 | Ruchita Patel | Family Medicine | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2014-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801855341 | Rebecca Ann Inc | Skilled Nursing Facility | 204 Oak Dr S, Lake Jackson, TX 77566-5628 | 2006-03-22 |
| 1699763136 | Sweeny Hospital District | Skilled Nursing Facility | 413 Garland Dr, Lake Jackson, TX 77566-6240 | 2005-10-10 |
| 1346539079 | Sunset Nursing Home, Inc. | Skilled Nursing Facility | 204 Oak Dr S, Lake Jackson, TX 77566-5628 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
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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.