DR. KENNY SAM (NPI# 1407109770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407109770 |
| Entity Type | Individual |
| Full Name | DR. KENNY SAM |
| Credential | D.O. |
| Practice Address |
16750 Red Oak Dr Houston TX 77090-2543 |
| Mailing Address |
20320 Northwest Fwy Ste 900 Jersey Village TX 77065-5620 |
| Practice Telephone | 2814537100 |
| Mailing Telephone | 2814537232 |
| Mailing Fax Number | 2814402020 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
P6911 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
P6911 | TX | Allopathic & Osteopathic Physicians |
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
P6911 | TX | Ambulatory Health Care Facilities |
| Street Address |
16750 RED OAK DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518958271 | Hans Hoffman Truong | Radiology | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2005-11-02 |
| 1588262117 | Michael Do, Do, Pllc | Anesthesiology | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2020-10-15 |
| 1497315105 | Lori Worsham Vetitoe | Nurse Anesthetist, Certified Registered | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2019-06-14 |
| 1275008682 | Regina Viola Welch | Nurse Practitioner | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2018-10-11 |
| 1093280802 | Paul Rostata | Nurse Practitioner | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2018-10-08 |
| 1326526583 | Medical Imaging Partners Pa | Radiology | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2018-07-31 |
| 1407382328 | Gisele Urrutibeheity | Psychiatry & Neurology | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2017-05-11 |
| 1366853509 | Michael Do | Anesthesiology | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2014-05-09 |
| 1154691442 | Piney Woods Radiology, Pllc | Radiology | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2012-01-04 |
| 1336431352 | David S Chiao | Radiology | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2011-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1578065967 | Erika G. L. C. Odisio | Radiology | 1400 Pressler St # 145084, Houston, TX 77030-3722 | 2018-03-02 |
| 1841798527 | Icgh - Imaging Centers of Greater Houston LLC | Radiology | 6300 Richmond Ave Ste 104, Houston, TX 77057-5931 | 2018-01-26 |
| 1528597580 | Mayur Kundan Virarkar | Radiology | 1515 Holcombe Blvd Unit 1459, Houston, TX 77030-4000 | 2017-06-05 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1881139566 | Radiology Partners of Iowa Inc | Radiology | 7600 W Tidwell Rd, Suite 103, Houston, TX 77040-5714 | 2017-01-04 |
| 1902352701 | Mouin Ct-mri | Radiology | 11375 W Sam Houston Parkway, 150, Houston, TX 77031-2347 | 2016-08-31 |
| 1861888356 | Joe M Moody Sr. | Radiology | 5042 Tangle Ln., Houston, TX 77056-2114 | 2015-04-10 |
| 1689063430 | Kai Xu | Radiology | 6431 Fannin St Ste 2.116, Houston, TX 77030-1501 | 2015-01-16 |
| 1063817203 | Oakridge Imaging LLC | Radiology | 3301 S Shepherd Dr, Houston, TX 77098-3320 | 2014-10-30 |
| Find all providers in HOUSTON | ||||
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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.