SHAWN TITTLE (NPI# 1396778601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396778601 |
Entity Type | Individual |
Full Name | SHAWN TITTLE |
Credential | MD |
Practice Address |
4201 Garth Rd Suite 211 Baytown TX 77521-3167 |
Practice Telephone | 8325566046 |
Practice Fax Number | 2814284720 |
Mailing Telephone | 8325566046 |
Mailing Fax Number | 2814284720 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2017-01-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 042777 | CT | Allopathic & Osteopathic Physicians |
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | R0798 | TX | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 042777 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS | 8GK557 | 01 |
CT | 001427774 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366537995 | Shawn D Tittle | Chiropractor | 3013 S Ash Ct, Broken Arrow, OK 74012-7806 | 2006-10-03 |
Street Address |
4201 GARTH RD SUITE 211 |
City | BAYTOWN |
State | TX |
Zip Code | 77521-3167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770584690 | Edward William Leahey | Internal Medicine | 4201 Garth Rd, 100, Baytown, TX 77521-3167 | 2005-08-02 |
1295285575 | Mayla Garcia | Nurse Practitioner | 4201 Garth Rd, Suite 208, Baytown, TX 77521-3167 | 2016-10-10 |
1952794216 | Complete Wellness Center | Allergy & Immunology | 4201 Garth Rd, Suite 290, Baytown, TX 77521-3167 | 2015-03-11 |
1619301223 | Michelle A Obale | Nurse Practitioner | 4201 Garth Rd, Suite 212, Baytown, TX 77521-3167 | 2013-08-30 |
1710329966 | Danny Wong M.d. Pa | Otolaryngology | 4201 Garth Rd, Ste 321, Baytown, TX 77521-3167 | 2013-07-29 |
1922379536 | East Houston Cardiovascular Associates Pa | Internal Medicine | 4201 Garth Rd, Suite 318, Baytown, TX 77521-3167 | 2012-01-13 |
1124312012 | Testsmartrx LLC | Psychologist | 4201 Garth Rd, Ste 290, Baytown, TX 77521-3167 | 2011-06-08 |
1396046371 | Mohammed Athari, Md, Pa | Psychiatry & Neurology | 4201 Garth Rd, Ste 210, Baytown, TX 77521-3167 | 2010-11-08 |
1528368156 | Eric S. Rothenberg, M.d., P.a | Clinic/Center | 4201 Garth Rd, Suite 111, Baytown, TX 77521-3167 | 2010-10-29 |
1194038281 | Houssam Ahmad Oueini | Internal Medicine | 4201 Garth Rd, Baytown, TX 77521 | 2010-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
Find all providers in zip 77521 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952915894 | Branislav Stojkovic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6431 Fannin St Ste Jjl S-86, Houston, TX 77030-1501 | 2020-09-08 |
1093349946 | Lawrence R Hamner IIi Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Jimmy Johnson Blvd Ste 207, Port Arthur, TX 77640-2011 | 2020-03-01 |
1275173379 | Houston Cardiothoracic and Vein Surgeons, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 St Joseph Pkwy Ste 1005, Houston, TX 77002-8205 | 2020-01-07 |
1861962003 | Brownsville Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 E Alton Gloor Blvd Bldg B, Brownsville, TX 78526-3328 | 2018-11-30 |
1326523077 | Southeast Texas Cardiac LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Fm 1960 Bypass Rd W Ste 303, Humble, TX 77338-4019 | 2018-09-28 |
1982119061 | Elite Heart, Lung, and Vein Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2406 Ellis Park Ln, Conroe, TX 77304-2938 | 2017-12-11 |
1376076869 | Kitten Cardiovascular Associates Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118 Shenandoah Drive, Suite A, Shenandoah, TX 77381-1203 | 2017-04-11 |
1003360116 | William E Wallace Do | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6007 Hillbrook Dr, Colleyville, TX 76034-5323 | 2016-08-05 |
1104284959 | Lm Duvall Enterprises | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41922 N Mill Dr, Magnolia, TX 77354-1850 | 2016-02-08 |
1457734618 | John Kirchmer Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2195 Thomas Rd, Beaumont, TX 77706-2837 | 2015-07-07 |
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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.