SOPHIE LUNG (NPI# 1285863449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285863449 |
| Entity Type | Individual |
| Full Name | SOPHIE LUNG |
| Practice Address |
106 Vision Park Blvd Shenandoah TX 77384-3000 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 7134421800 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | N1745 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 204041204 | 05 | |
| TX | 204041202 | 05 | |
| TX | 204041203 | 05 |
| Street Address |
106 VISION PARK BLVD |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143518 | Robert Lee Cook | Surgery | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2005-09-06 |
| 1457969503 | Renee Grubbs | Dietitian, Registered | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2020-07-15 |
| 1225547219 | Brittany Marie Taylor Watson | Physician Assistant | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2017-09-22 |
| 1679928089 | Vinh Huu Dang | Family Medicine | 106 Vision Park Blvd, Shenandoah, TX 77384 | 2016-05-04 |
| 1477935930 | Kathe Boarman | Pharmacist | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2015-06-22 |
| 1679953970 | Krista Mccorvey | Dietitian, Registered | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2015-06-02 |
| 1164818860 | Kelsey Ann Shanahan-prendergast | Internal Medicine | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2015-04-09 |
| 1912393752 | Christopher Hobaugh | Urology | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2015-04-08 |
| 1437552924 | Tamikiia A Brown | Nurse Practitioner | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 | 2014-09-29 |
| 1669888517 | Kristen A Garner | Physician Assistant | 106 Vision Park Blvd, Shenandoah, TX 77384 | 2014-07-10 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124542824 | Ut Physicians | Pediatrics | 920 Medical Plaza Dr Ste 140, Shenandoah, TX 77380-3751 | 2017-08-03 |
| 1588112080 | Phoenix Pediatric Alliance, Pllc | Pediatrics | 150 Pine Forest Dr # 702, Shenandoah, TX 77384-5302 | 2016-09-14 |
| 1790139988 | Chloe Ann Rushing | Pediatrics | 920 Medical Plaza Dr Ste 460, Shenandoah, TX 77380-3259 | 2016-04-14 |
| 1639599939 | Caleb Sung Choe | Pediatrics | 920 Medical Plaza Dr Ste 530, Shenandoah, TX 77380-3259 | 2014-04-24 |
| 1548524150 | Neighborhood Pediatrics | Pediatrics | 19221 I-45 S, Suite 430, Shenandoah, TX 77385-8756 | 2012-06-28 |
| 1790989374 | Rachel Ivy Mcconnell | Pediatrics | 19221 I-45 S Ste 430, Shenandoah, TX 77385-8770 | 2007-06-14 |
| 1144365487 | Paula Jean Kruppstadt | Pediatrics | 150 Pine Forest Dr Ste 701, Shenandoah, TX 77384-5317 | 2007-02-21 |
| 1609976844 | Sharon Holness Lucas | Pediatrics | 19221 Interstate 45 S, Suite 430, Shenandoah, TX 77385-8756 | 2006-09-25 |
| 1588212674 | Nadia K Asadi | Pediatrics | 19221 I 45 S Ste 430, Shenandoah, TX 77385-8770 | 2019-08-31 |
| 1750725842 | Brittany Lynn Duyka | Pediatrics | 9250 Pinecroft Dr, Shenandoah, TX 77380-3218 | 2013-04-19 |
| Find all providers in SHENANDOAH | ||||
| 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.