STEPHANIE D. SMITH-SHAM, M.D., PLLC (NPI# 1427381854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427381854 |
| Entity Type | Organization |
| Organization Name | STEPHANIE D. SMITH-SHAM, M.D., PLLC |
| Other Organization Name | NORTHWEST HOUSTON OB/GYN |
| Practice Address |
11302 Fallbrook Dr #302 Houston TX 77065-4235 |
| Mailing Address |
10807 Jones Road, #309 Houston TX 77065 |
| Practice Telephone | 2819558780 |
| Practice Fax Number | 8326888297 |
| Mailing Telephone | 2819558780 |
| Mailing Fax Number | 8326888297 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-18 |
| Authorized Official Name | DR. STEPHANIE D. SMITH-SHAM (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 2819558780 |
| Authorized Official Credential | M.D., FACOG |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | N2818 | TX | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Northwest Houston Ob/Gyn | Doing Business As Name - Organization |
| Street Address |
11302 FALLBROOK DR #302 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77065-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365203 | Elizabeth C Podoba | Specialist | 11302 Fallbrook Dr, Suite 101, Houston, TX 77065-4235 | 2005-09-08 |
| 1447659479 | Alicia Mccain | Nurse Practitioner | 11302 Fallbrook Dr, Suite 101, Houston, TX 77065-4235 | 2014-08-14 |
| 1851695795 | Greater Dallas Healthcare Enterprises | Family Medicine | 11302 Fallbrook Dr, Ste. 201, Houston, TX 77065-4235 | 2011-01-07 |
| 1730413444 | Marguerite Collette Ogden | Audiologist | 11302 Fallbrook Dr, Ste. 206, Houston, TX 77065-4235 | 2009-09-28 |
| 1174857437 | Bimal Talati, Md Pa | Internal Medicine | 11302 Fallbrook Dr, #205, Houston, TX 77065-4235 | 2009-09-18 |
| 1821266933 | Women's Health Center, P.a. | Obstetrics & Gynecology | 11302 Fallbrook Dr, Suite 202b, Houston, TX 77065-4235 | 2008-02-12 |
| 1003027038 | Ninh Ham Nguyen | Otolaryngology | 11302 Fallbrook Dr, Ste 206, Houston, TX 77065-4235 | 2007-05-24 |
| 1497972913 | John Ibrahim Dogan | Obstetrics & Gynecology | 11302 Fallbrook Dr, Suite 202b, Houston, TX 77065-4235 | 2007-04-19 |
| 1508997461 | Eric Blacher | Urology | 11302 Fallbrook Dr, Suite 107, Houston, TX 77065-4235 | 2007-03-09 |
| 1992843668 | Christola Pa | Internal Medicine | 11302 Fallbrook Dr, Suite 306, Houston, TX 77065-4235 | 2007-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184913 | American Med Resources, LLC | Nursing Care | 12811 Azalea Creek Trail, Houston, TX 77065 | 2019-09-24 |
| 1619445210 | Prativa N Bhandari | Nurse Practitioner | 11307 Farm To Market, W #130, Houston, TX 77065 | 2018-11-13 |
| 1215405923 | Nyla Jacobs | Physical Therapist | 11777 Fm 1960 W, Houston, TX 77065 | 2018-11-12 |
| 1437632460 | Jose Milton Hernandez Mercado | Dentist | 12341 Fm 1960 Rd W Ste A, Houston, TX 77065 | 2018-09-14 |
| 1780164285 | Portal Cypress Dentistry & Orthodontics Pllc | Dentist | 11211 North Eldridge Pkwy, Houston, TX 77065 | 2018-08-15 |
| 1710492368 | Monica Zelaya | Counselor | 11919 Leaf Oak Dr, Houston, TX 77065 | 2017-12-05 |
| 1619494077 | Tam-anh Nguyen | Specialist/Technologist | 9827 Chiselhurst Dr., Houston, TX 77065 | 2017-08-26 |
| 1881110211 | Veronica Arceneaux | Home Health Aide | 12436 F M 1960 West, #191, Houston, TX 77065 | 2017-08-17 |
| 1528590288 | Cini John | Nurse Practitioner | 11810 Fm1960 W., Hc Medical Doctors, Pa, Houston, TX 77065 | 2017-03-31 |
| 1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
| Find all providers in zip 77065 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1275098568 | Idoc Virtual Telehealth Texas | Specialist | 2311 W Main St, Houston, TX 77098-3218 | 2019-01-31 |
| 1326531708 | Houston Neurology Clinical & Diagnostic Consultants Company | Specialist | 1313 La Concha Ln Ste 130, Houston, TX 77054-1809 | 2018-06-11 |
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| 1093242166 | Cns Medical Group | Specialist | 6238 Rietta St, Houston, TX 77016-4338 | 2017-05-18 |
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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.