MR. DAVID LEE BARTCZAK (NPI# 1417931312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417931312 |
| Entity Type | Individual |
| Full Name | MR. DAVID LEE BARTCZAK |
| Credential | OPA-C, LSA |
| Practice Address |
4519 Ringrose Dr Missouri City TX 77459-2918 |
| Mailing Address |
Po Box 17774 Sugar Land TX 77496-7774 |
| Practice Telephone | 8775633374 |
| Practice Fax Number | 7133006331 |
| Mailing Telephone | 8775633374 |
| Mailing Fax Number | 7133006331 |
| Enumeration Date | 2005-12-04 |
| Last Update Date | 2014-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
3026 | TX | Technologists, Technicians & Other Technical Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
871 | Technologists, Technicians & Other Technical Service Providers | |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
SA00398 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4519 RINGROSE DR |
| City | MISSOURI CITY |
| State | TX |
| Zip Code | 77459-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970653 | The Medeor Group | Specialist/Technologist, Other | 4519 Ringrose Dr, Missouri City, TX 77459-2918 | 2014-07-21 |
| 1215216908 | Mederi Services LLC | Specialist/Technologist, Other | 4519 Ringrose Dr, Missouri City, TX 77459-2918 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801337 | Dynamik Transformations, LLC | Social Worker | 3522 Duncaster Dr, Missouri City, TX 77459 | 2020-11-03 |
| 1720606163 | Wonderfully Made Pediatrics, Pllc | Pediatrics | 8035 Highway 6 Ste 100, Missouri City, TX 77459 | 2020-07-13 |
| 1326608522 | Kyle Macdonald | Counselor | 9029 Sienna Ranch Road, Missouri City, TX 77459 | 2019-06-19 |
| 1275004947 | Andrea Christina Bland | Case Manager/Care Coordinator | 3426 Covey Trail Dr, Missouri City, TX 77459 | 2018-12-06 |
| 1477035814 | Golden Williams | Registered Nurse | 4502 Riverstone Boulevard, Missouri City, TX 77459 | 2018-09-01 |
| 1457831216 | Tania Leida Karmout | Physical Therapist | 4710 Lexington Boulevard, Missouri City, TX 77459 | 2018-08-20 |
| 1457831513 | Laila Dalope | Clinic/Center | 811 Sienna Springs Blvd, 521, Missouri City, TX 77459 | 2018-08-17 |
| 1477039196 | Tionyce Johnson | Behavior Technician | 3552 Fm 1092, Missouri City, TX 77459 | 2018-07-16 |
| 1861990681 | Nitta Ogu | Nurse Practitioner | 3631 John Hancock Lane, Missouri City, TX 77459 | 2018-01-26 |
| 1881100998 | Higden Dialysis LLC | Clinic/Center | 9340 Highway 6, Suite 400, Missouri City, TX 77459 | 2017-12-27 |
| Find all providers in zip 77459 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042590 | Pinnacle Surgical Associates | Physician Assistant | 42 Pravia Path Dr, Missouri City, TX 77459-1696 | 2017-09-29 |
| 1750825485 | Unlimited Business Solutions, LLC | Physician Assistant | 3411 Mccreary Way, Missouri City, TX 77459-6360 | 2016-12-14 |
| 1750741047 | Sienna Practitioners Pllc | Physician Assistant | 46 Pravia Path Dr, Missouri City, TX 77459-1696 | 2016-02-29 |
| 1407258528 | Divine Surgical Service LLC. | Physician Assistant | 6140 Highway 6 Ste 282, Missouri City, TX 77459-3802 | 2014-09-19 |
| 1225394992 | Deborah Sue Bass | Physician Assistant | 2802 Green Meadow Ct, Missouri City, TX 77489-5250 | 2012-04-07 |
| 1164725768 | Salcorp Ventures, LLC | Physician Assistant | 3302 Greenridge Dr, Missouri City, TX 77459-2020 | 2010-12-21 |
| 1083927560 | Ruben Guerrero | Physician Assistant | 3015 Deer Xing, Missouri City, TX 77459-2460 | 2010-07-26 |
| 1487841433 | Teneric Joseph Davis | Physician Assistant | 10910 Redstone Ct, Missouri City, TX 77459-3280 | 2007-10-03 |
| 1427681717 | Texas Lsa Inc | Physician Assistant | 3015 Deer Xing, Missouri City, TX 77459-2460 | 2020-02-15 |
| 1801305289 | Houston Lsa, Inc | Physician Assistant | 3015 Deer Xing, Missouri City, TX 77459-2460 | 2017-09-28 |
| Find all providers in MISSOURI CITY | ||||
| City | MISSOURI CITY |
| Zip Code | 77459 |
Please comment or provide details below to improve the information on MR. DAVID LEE BARTCZAK.
| 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.