CLEAR LAKE ONCOLOGY PLLC (NPI# 1437543626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437543626 |
| Entity Type | Organization |
| Organization Name | CLEAR LAKE ONCOLOGY PLLC |
| Practice Address |
600 N Kobayashi Ste 310 Webster TX 77598 |
| Mailing Address |
Po Box 58778 Webster TX 77598-8778 |
| Practice Telephone | 2817248335 |
| Practice Fax Number | 2817241861 |
| Mailing Telephone | 2817248335 |
| Mailing Fax Number | 2817241861 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2018-09-07 |
| Authorized Official Name | JEANNE FRAZIER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2817247145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1639360829 | 01 |
| TX | NPI | 1346569316 | 01 |
| Street Address |
600 N KOBAYASHI STE 310 |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639360829 | John George Knecht IIi | Internal Medicine | 600 N Kobayashi Ste 310, Webster, TX 77598 | 2007-08-05 |
| 1245837715 | Amanda Gail Johnson | Nurse Practitioner | 600 N Kobayashi Ste 310, Webster, TX 77598-4841 | 2020-10-07 |
| 1023518917 | Li P Harper | Nurse Practitioner | 600 N Kobayashi Ste 310, Webster, TX 77598-4841 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083650386 | Suzanne Mcclure | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447636857 | Carl Plager | Internal Medicine | 5151 Edloe Street, Apt. 5406, Houston, TX 77005-1187 | 2015-08-07 |
| 1730560525 | Michael Burgess | Internal Medicine | 300 Zapata Ave, Rancho Viejo, TX 78575-9654 | 2015-06-17 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1881018760 | Giora M. Mavligit | Internal Medicine | 2400 N. Braeswood, #211, Houston, TX 77030 | 2014-02-12 |
| 1396184354 | David Hsieh | Internal Medicine | 2201 Inwood Road 3rd Floor Nc3.500, Dallas, TX 75390 | 2013-06-22 |
| 1790124113 | William Stanley Gore | Internal Medicine | 570 Beechwood Loop, Hemphill, TX 75948-6615 | 2013-06-19 |
| 1679919963 | Olufunke Akinbobuyi | Internal Medicine | 2205 West Walker Street, League City, TX 77573 | 2013-05-14 |
| 1659715357 | Natasha Baldev Hirani | Internal Medicine | 1450 E League City Pkwy, League City, TX 77573 | 2013-04-24 |
| 1154676146 | Rossa Khalaf | Internal Medicine | 7812 Gateway Blvd E Ste 110, El Paso, TX 79915-1811 | 2012-07-17 |
| 1275808222 | Debra Louise Caudy | Internal Medicine | 6620 Golf Dr, Dallas, TX 75205-1212 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
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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.