DAVID PERUSEK (NPI# 1417401613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417401613 |
| Entity Type | Individual |
| Full Name | DAVID PERUSEK |
| Credential | CNIM |
| Practice Address |
4141 Southwest Fwy Suite 410 Houston TX 77027-7313 |
| Practice Telephone | 7132555097 |
| Practice Fax Number | 7136262337 |
| Mailing Telephone | 7132555097 |
| Mailing Fax Number | 7136262337 |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CNIM | 3504 | 01 |
| Street Address |
4141 SOUTHWEST FWY SUITE 410 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77027-7313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825298 | Adam Alexander | Chiropractor | 4141 Southwest Fwy, Suite 410, Houston, TX 77027-7313 | 2005-07-20 |
| 1043748759 | Jiji Balu Zachariah | Nurse Practitioner | 4141 Southwest Fwy, Houston, TX 77027-7313 | 2017-05-24 |
| 1922546993 | Guardian Diagnostics, LLC | Psychiatry & Neurology | 4141 Southwest Fwy, Suite 410, Houston, TX 77027-7313 | 2017-02-09 |
| 1982142543 | Kara Chanko | Specialist/Technologist, Other | 4141 Southwest Fwy, Suite 410, Houston, TX 77027-7313 | 2017-02-03 |
| 1356883755 | Patrick Lamb | Specialist/Technologist, Other | 4141 Southwest Fwy, Suite 410, Houston, TX 77027-7313 | 2016-11-16 |
| 1194277285 | Flexidy LLC | Neurological Surgery | 4141 Southwest Fwy, Suite 410, Houston, TX 77027-7313 | 2016-10-25 |
| 1720532922 | Jodie Mudd | Specialist/Technologist, Other | 4141 Southwest Fwy, Houston, TX 77027-7313 | 2016-08-05 |
| 1043764244 | Christopher Velkovski | Specialist/Technologist, Other | 4141 Southwest Fwy, Suite 410, Houston, TX 77027-7313 | 2016-08-05 |
| 1205380409 | Nanzy Kakoz | Specialist/Technologist, Other | 4141 Southwest Fwy, Suite 410, Houston, TX 77027-7313 | 2016-08-05 |
| 1346794542 | Lindsay Brown | Specialist/Technologist, Other | 4141 Southwest Fwy, Suite 410, Houston, TX 77027-7313 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456185 | River Oaks Senior Living LLC | Assisted Living Facility | 4 Briar Dale Ct, Houston, TX 77027 | 2020-01-18 |
| 1477191757 | Holistic Innovative Interventional Pain Associates Pllc | General Practice | 4615 Southwest Freeway #850, Houston, TX 77027 | 2019-12-17 |
| 1841837986 | Veronica Welch | Social Worker | 464 Wild Indigo, Suite 150, Houston, TX 77027 | 2019-12-09 |
| 1184288805 | Gabriella Postalian-rizzo | Dentist | 4126 Southwest Freeway, Suite 1040, Houston, TX 77027 | 2019-04-29 |
| 1659856680 | Rachel Menges | Nurse Practitioner | 4200 Twelve Oaks Place, Houston, TX 77027 | 2018-09-25 |
| 1295217503 | New Way Psychological Services, Pllc | Psychologist | 2100 West Loop South Suite 800, Houston, TX 77027 | 2018-09-04 |
| 1760960892 | Emily Moore Netherton | Social Worker | 4646 Wild Indigo, Suite 150, Houston, TX 77027 | 2018-07-31 |
| 1548757826 | Foundations Pediatric Therapy of Houston | Occupational Therapist | 3312 Marquart Street, Houston, TX 77027 | 2018-04-22 |
| 1962905091 | Christina Raeann Gkinos | Licensed Practical Nurse | 3315 Marquart Street, 209, Houston, TX 77027 | 2018-03-15 |
| 1508366337 | Florence Okotie | Registered Nurse | 3315 Marquette St, Houston, TX 77027 | 2018-02-19 |
| Find all providers in zip 77027 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996058 | Careus Iom | Specialist/Technologist, Other | 17222 Kendall Ridge Ln, Houston, TX 77095-5199 | 2020-03-05 |
| 1417434523 | Spectrum Neuro Lp | Specialist/Technologist, Other | 3333 Lake St Unit 7h, Houston, TX 77098-2170 | 2018-07-21 |
| 1427577642 | Michelle Josette Edwards | Specialist/Technologist, Other | 10330 Lake Rd Ste E, Houston, TX 77070-1696 | 2017-09-19 |
| 1710406152 | Peak Iom, LLC | Specialist/Technologist, Other | 5318 Weslayan St Ste 195, Houston, TX 77005-1048 | 2017-09-18 |
| 1851816425 | Nhi Myarcherie Huynh | Specialist/Technologist, Other | 9919 Blooming Ivy Ln, Houston, TX 77089-2476 | 2017-08-04 |
| 1528598521 | Mbb Neuromonitoring LLC | Specialist/Technologist, Other | 4807 Plum Forest Road, Houston, TX 77084 | 2017-06-13 |
| 1427509066 | Gary Chacon | Specialist/Technologist, Other | 9777 West Gulf Bank Rd, Suite 5, Houston, TX 77040 | 2016-10-19 |
| 1982153177 | Ashley Haddock | Specialist/Technologist, Other | 9777 W Gulf Bank Rd Ste 5, Houston, TX 77040-3137 | 2016-09-28 |
| 1063967776 | Safer Surgery Iom | Specialist/Technologist, Other | 5300 N Braeswood Blvd #127, Houston, TX 77096 | 2016-08-23 |
| 1568817096 | Amy Lea Carlson | Specialist/Technologist, Other | 12820 Greenwood Forest Dr, Apt 519, Houston, TX 77066-1636 | 2016-05-03 |
| 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.