DR. KELLY SHUM (NPI# 1366886178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366886178 |
| Entity Type | Individual |
| Full Name | DR. KELLY SHUM |
| Credential | MD |
| Practice Address |
17350 St Lukes Way Ste 400 The Woodlands TX 77384-4167 |
| Practice Telephone | 3626648009 |
| Practice Fax Number | 9362664775 |
| Mailing Telephone | 9362664909 |
| Mailing Fax Number | 9362664775 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
S1273 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1514 Jefferson Hwy, Jefferson, LA 701212429 | 5048423000 | |
| 2255 E Mossy Oaks Rd Ste 600, Spring, TX 773891813 | 9362664800 | 9362664775 |
| Street Address |
17350 ST LUKES WAY STE 400 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77384-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588806566 | Scott Jason Greenberg | Internal Medicine | 17350 St Lukes Way Ste 400, The Woodlands, TX 77384-4167 | 2009-04-06 |
| 1295247054 | Diana Garcia | Nurse Practitioner | 17350 St Lukes Way Ste 400, The Woodlands, TX 77384-4167 | 2017-11-01 |
| 1982058103 | Danielle D'eugenio | Physician Assistant | 17350 St Lukes Way Ste 400, Medical Arts II Building, The Woodlands, TX 77384-4167 | 2016-04-14 |
| 1538408984 | Jennifer K Heath | Internal Medicine | 17350 St Lukes Way Ste 400, Medical Arts Building II, The Woodlands, TX 77384-4167 | 2013-02-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1649355231 | Nasser Cardiology, P.a. | Internal Medicine | 3115 College Park Dr Ste 106, The Woodlands, TX 77384 | 2006-10-25 |
| 1750382313 | Vincent (none) Aquino | Internal Medicine | 17350 St. Lukes Way, Suite 400, The Woodlands, TX 77384-4167 | 2005-08-04 |
| 1568466365 | Kedarnath A Vaidya | Internal Medicine | 17350 St Lukes Way, Suite 400, The Woodlands, TX 77384-4167 | 2005-06-09 |
| 1538408984 | Jennifer K Heath | Internal Medicine | 17350 St Lukes Way Ste 400, Medical Arts Building II, The Woodlands, TX 77384-4167 | 2013-02-05 |
| 1366701773 | The Woodlands-houston Neuro Psychiatric Clinic, P.a. | Internal Medicine | 9006 Forest Xing Ste C, The Woodlands, TX 77381-1155 | 2012-05-07 |
| 1710113014 | Woodlands-north Houston Heart Associates, Pa | Internal Medicine | 17350 St Lukes Way, Suite 400, The Woodlands, TX 77384-4100 | 2009-06-02 |
| 1306030150 | Sanjaykumar R Patel | Internal Medicine | 3115 College Park Dr Ste 112, The Woodlands, TX 77384 | 2007-09-04 |
| 1720100027 | Siddharth S Mukerji | Internal Medicine | 17350 St Lukes Way, Suite #320, The Woodlands, TX 77384-4100 | 2007-04-06 |
| 1992880595 | George Nasser | Internal Medicine | 3115 College Park Dr Ste 106, The Woodlands, TX 77384 | 2006-10-25 |
| 1184678310 | Margit A Nemeth | Internal Medicine | 17350 St Lukes Way, Suite 400, The Woodlands, TX 77384-4100 | 2006-05-20 |
| Find all providers in THE WOODLANDS | ||||
| City | THE WOODLANDS |
| 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.