DR. STEPHEN D. SIMONICH (NPI# 1295710820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295710820 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN D. SIMONICH |
| Credential | M.D |
| Practice Address |
13635 Michel Rd Tomball TX 77375-6410 |
| Practice Telephone | 2813517261 |
| Practice Fax Number | 2813512515 |
| Mailing Telephone | 2813517261 |
| Mailing Fax Number | 2813512515 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | TEMPORARY | TX | Allopathic & Osteopathic Physicians |
| Street Address |
13635 MICHEL RD |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831328 | Husam Bahrani | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2005-06-15 |
| 1144666785 | Micah Bosley | Family Medicine | 13635 Michel Rd, Tomball, TX 77375-6410 | 2013-05-21 |
| 1922350925 | John Mcmonigle | Physician Assistant | 13635 Michel Rd, Tomball, TX 77375-6410 | 2012-10-15 |
| 1497919401 | Johnna Nicole Walker | Physician Assistant | 13635 Michel Rd, Tomball, TX 77375-6410 | 2008-07-18 |
| 1548392954 | Jeffrey Kevin Smith | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2007-03-12 |
| 1518012970 | Jason J Manafi | Physician Assistant | 13635 Michel Rd, Tomball, TX 77375-6410 | 2007-01-24 |
| 1316979362 | Michael J Leahy | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2006-07-07 |
| 1891790911 | M Tarek Al-fahl | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2005-06-15 |
| 1235134362 | Matthew Hammit | Orthopaedic Surgery | 13635 Michel Rd, Tomball, TX 77375-6410 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124273222 | Potential Services Pllc | Neuromusculoskeletal Medicine, Sports Medicine | 8801 North Tarrant Parkway, North Richland Hills, TX 79182 | 2008-11-18 |
| 1730383324 | Norberto Alvarez Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 1419 Clark Blvd, Laredo, TX 78040-3417 | 2007-06-14 |
| 1407971591 | Larry Omar Goldbeck | Neuromusculoskeletal Medicine, Sports Medicine | 29601 No Le Hace Dr, Fair Oaks Ranch, TX 78015-4518 | 2007-03-20 |
| 1205950953 | Wright Wiley Singleton | Neuromusculoskeletal Medicine, Sports Medicine | 121 N E Loop 820, 100, Hurst, TX 76053 | 2007-03-19 |
| 1033260740 | Northwest Medical & Rehab Clinic Pa | Neuromusculoskeletal Medicine, Sports Medicine | 2829 W Northwest Hwy, Suite 904, Dallas, TX 75220-6219 | 2007-01-16 |
| 1063562635 | Nick J Patzakis | Neuromusculoskeletal Medicine, Sports Medicine | 9725 Homestead Rd, Houston, TX 77016-4403 | 2007-01-12 |
| 1174533889 | Richard F. Haenke | Neuromusculoskeletal Medicine, Sports Medicine | 2008 L Don Dodson Dr Ste 100, Bedford, TX 76021-1844 | 2006-08-08 |
| 1114931847 | Winifred Rene King | Neuromusculoskeletal Medicine, Sports Medicine | 15 Veilwood Cir, The Woodlands, TX 77382-4500 | 2006-07-28 |
| 1235155813 | Norbert Poquiz | Neuromusculoskeletal Medicine, Sports Medicine | 205 E Airport Fwy, Irving, TX 75062-6317 | 2006-07-15 |
| 1497790273 | Richard G Stoval | Neuromusculoskeletal Medicine, Sports Medicine | 1111 River Rd, Cuero, TX 77954-6641 | 2006-06-17 |
| Find all providers with the same taxonomy | ||||
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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.