DR. LEENA CHACKO (NPI# 1346208279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346208279 |
| Entity Type | Individual |
| Full Name | DR. LEENA CHACKO |
| Credential | MD |
| Practice Address |
129 Vision Park Blvd Ste 105 Shenandoah TX 77384-3024 |
| Practice Telephone | 9362421728 |
| Practice Fax Number | 9364479145 |
| Mailing Telephone | 2814753150 |
| Mailing Fax Number | 9364479145 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M6072 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17320 Red Oak Dr, Suite 260, Houston, TX 770902633 | 8325857967 | 9364479145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821374943 | Leena Chacko | Pharmacist | 3045 Silverlake Village Dr, Pearland, TX 77584-8080 | 2011-11-02 |
| 1639206139 | Leena Chacko | Family Medicine | 22850 Ne 8th St, #103, Sammamish, WA 98074-7256 | 2007-02-28 |
| Street Address |
129 VISION PARK BLVD STE 105 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-3024 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487867669 | Sachin Chandra Senan | Family Medicine | 129 Vision Park Blvd Ste 205, Shenandoah, TX 77384-3024 | 2007-05-07 |
| 1356463483 | James Wei-tzer Hu Md PC | Family Medicine | 239 W. Center St, Shenandoah, PA 17976-1608 | 2007-04-06 |
| 1336209873 | Kent Erickson | Family Medicine | 17183 I 45 S Ste 550, Shenandoah, TX 77385-3314 | 2006-12-12 |
| 1154481034 | Christine M. Choi | Family Medicine | 9201 Pinecroft Dr Ste 220, Shenandoah, TX 77380-3889 | 2006-12-11 |
| 1699868968 | Richard Montgomery Brothers | Family Medicine | 424 S 3rd St, Shenandoah, VA 22849-1714 | 2006-10-01 |
| 1003853276 | Nora Catherine Hart | Family Medicine | 17183 I H 45 S Ste 550, Shenandoah, TX 77385 | 2006-05-31 |
| 1578537312 | Veronica Pina Bugenhagen | Family Medicine | 150 Pine Forest Dr Ste 703, Shenandoah, TX 77384 | 2006-02-16 |
| 1326028366 | James Wei-tzer Hu | Family Medicine | 239 W Center St, Shenandoah, PA 17976-1608 | 2006-01-17 |
| 1407488521 | Evelyn A Laryea | Family Medicine | 17201 Interstate 45 S, Shenandoah, TX 77385-3311 | 2020-02-06 |
| 1770038549 | Geriatric & Palliative Care Associates,pa | Family Medicine | 150 Pine Forest Dr, Suite 110, Shenandoah, TX 77384-5302 | 2016-08-22 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 77384 |
Please comment or provide details below to improve the information on DR. LEENA CHACKO.
| 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.