MARY MERCADO (NPI# 1366540023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366540023 |
| Entity Type | Individual |
| Full Name | MARY MERCADO |
| Credential | M.D. |
| Practice Address |
530 Orchard St Webster TX 77598-4110 |
| Practice Telephone | 2813384004 |
| Practice Fax Number | 2813326524 |
| Mailing Telephone | 2813384004 |
| Mailing Fax Number | 2813326524 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | J4350 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
J4350 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009952670 | 05 | |
| NPI | 1366540023 | 01 | |
| CAQH | 10912070 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669806360 | Mary Catherine Mercado | Psychologist | 53 Windsor Ave, Vernon, CT 06066-6602 | 2013-08-29 |
| 1104123306 | Mary Kay Mercado | Registered Nurse | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2011-02-24 |
| Street Address |
530 ORCHARD ST |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275574139 | David Hamer Md Pa | Internal Medicine | 530 Orchard St, Webster, TX 77598-4110 | 2006-06-09 |
| 1093279960 | Wendy Zenaida Palma Abellar | Nurse Practitioner | 530 Orchard St, Webster, TX 77598-4110 | 2019-01-24 |
| 1043759681 | Melissa Ann Smith | Nurse Practitioner | 530 Orchard St, Webster, TX 77598-4110 | 2017-02-15 |
| 1255775748 | Ahmad Samir Al-taweel | Internal Medicine | 530 Orchard St, Webster, TX 77598-4110 | 2013-04-26 |
| 1356586994 | Molham Aldeiri | Internal Medicine | 530 Orchard St, Webster, TX 77598-4110 | 2008-12-11 |
| 1518134931 | Monina Tubat | Nurse Practitioner | 530 Orchard St, Webster, TX 77598-4110 | 2008-05-14 |
| 1780771188 | R Patrick Rudy | Specialist | 530 Orchard St, Webster, TX 77598-4110 | 2006-10-06 |
| 1659397099 | Bahaeddin A Shabaneh | Internal Medicine | 530 Orchard St, Webster, TX 77598-4110 | 2006-07-15 |
| 1326077074 | Ajit V Adyanthaya | Internal Medicine | 530 Orchard St, Webster, TX 77598-4110 | 2006-07-02 |
| 1336176429 | David Hamer | Internal Medicine | 530 Orchard St, Webster, TX 77598-4110 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194161299 | Jinesh Shah | Internal Medicine | 450 Blossom St Ste D, Webster, TX 77598-4200 | 2013-05-15 |
| 1487759494 | Bay Area Cardiology Pa | Internal Medicine | #2 Professional Park Dr, Webster, TX 77598 | 2006-09-14 |
| 1912012352 | Ghyath Samman | Internal Medicine | 17051 N Texas Ave, Webster, TX 77598-4023 | 2006-08-19 |
| 1669485371 | Bharat Shivabhai Patel | Internal Medicine | 17448 Hway 3, Suite 175, Webster, TX 77598-4139 | 2006-08-14 |
| 1710929575 | Mohan Kumar | Internal Medicine | 16969 N Texas Ave Ste 100, Webster, TX 77598-4094 | 2006-06-12 |
| 1700889961 | Mohamed L Shalaby | Internal Medicine | 290 E Medical Center Blvd, Webster, TX 77598-4319 | 2005-05-23 |
| 1558987073 | Omar M Jeroudi, M.d. P.a. | Internal Medicine | 17490 Highway 3, Ste A300, Webster, TX 77598-3602 | 2020-06-20 |
| 1639724164 | Premier Cardiology Clinic Pllc | Internal Medicine | 16969 N Texas Ave Ste 100, Webster, TX 77598-4094 | 2019-08-01 |
| 1326604562 | Premier Cardiology Clinic,pllc | Internal Medicine | 16969 N Texas Ave Ste 100, Webster, TX 77598-4094 | 2019-05-14 |
| 1265933212 | Samman Ali Shah LLC | Internal Medicine | 450 Blossom St Ste D, Webster, TX 77598-4200 | 2018-02-26 |
| Find all providers in WEBSTER | ||||
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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.