JACOB WORSHAM


Address: 6400 Fannin St Ste 1700, Houston, TX 77030-1526
Phone: (713) 486-7500

JACOB WORSHAM (NPI# 1457617995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457617995
Entity Type Individual
Full Name JACOB WORSHAM
Credential M.D.
Practice Address 6400 Fannin St Ste 1700
Houston
TX 77030-1526
Practice Telephone (713) 486-7500
Practice Fax Number 7135127240
Mailing Telephone (713) 486-7500
Mailing Fax Number 7135127240
Enumeration Date 2012-04-10
Last Update Date 2017-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
R1477 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 6400 FANNIN ST STE 1700
City HOUSTON
State TX
Zip Code 77030-1526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972579324 Matthew E Koepplinger Emergency Medicine 6400 Fannin St Ste 1700, Houston, TX 77030-1521 2006-02-27
1396351904 Caroline Auguste Weir Physician Assistant 6400 Fannin St Ste 1700, Houston, TX 77030-1526 2020-09-18
1841811767 Ebubechi Okwumabua Student in an Organized Health Care Education/Training Program 6400 Fannin St Ste 1700, Houston, TX 77030-1526 2020-05-01
1649890732 Wade Nicolas Karam Student in an Organized Health Care Education/Training Program 6400 Fannin St Ste 1700, Houston, TX 77030-1526 2020-04-20
1720608920 Rhett Butler Student in an Organized Health Care Education/Training Program 6400 Fannin St Ste 1700, Houston, TX 77030-1526 2020-04-17
1659990240 Victor James Wu Student in an Organized Health Care Education/Training Program 6400 Fannin St Ste 1700, Houston, TX 77030-1526 2020-04-13
1013536853 Shrina Parikh Student in an Organized Health Care Education/Training Program 6400 Fannin St Ste 1700, Houston, TX 77030-1526 2020-04-12
1578192787 Jacob Anthony Heiner Student in an Organized Health Care Education/Training Program 6400 Fannin St Ste 1700, Houston, TX 77030-1526 2020-04-08
1780248625 Clark Dorman Student in an Organized Health Care Education/Training Program 6400 Fannin St Ste 1700, Houston, TX 77030-1526 2019-04-25
1609337989 Adeet Amin Student in an Organized Health Care Education/Training Program 6400 Fannin St Ste 1700, Houston, TX 77030-1526 2019-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770852 Mchaji Celestaine Pharmacist Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 2020-11-04
1730702598 Christopher A Mcmillian Student in an Organized Health Care Education/Training Program Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 2020-05-27
1245852698 Mostafa Hotait Student in an Organized Health Care Education/Training Program 7200 Cambridge Street 9a, Houston, TX 77030 2020-05-08
1790307288 Ayushi Jayesh Shah Student in an Organized Health Care Education/Training Program 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 2020-05-07
1932720836 Vera Whole Health Wa, PC Clinic/Center 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 2020-05-01
1548881808 Mobitz Heart and Rhythm Center Pllc Internal Medicine Scurlock Tower, 6560 Fannin St., Houston, TX 77030 2020-04-28
1710516513 Thomas Chi Han Lu Student in an Organized Health Care Education/Training Program 6431 Fannin Street, Msb 3.151, Houston, TX 77030 2020-04-03
1063041085 Kevin Tang Student in an Organized Health Care Education/Training Program 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 2020-04-02
1831728898 Taylor Renbarger Student in an Organized Health Care Education/Training Program 6431 Fannin St Suite Jjl 431, Houston, TX 77030 2020-04-02
1972131423 Sindhu R Rao Student in an Organized Health Care Education/Training Program 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 2020-03-31
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194223644 James R. Bocell Orthopaedic Surgery 2639 Fenwood Rd, Houston, TX 77005-3435 2018-01-30
1073039244 Aa Orthopedics Orthopaedic Surgery 2302 Fannin St Ste 410, Houston, TX 77002-9135 2017-08-18
1598203580 Tmh Physician Associates Pllc Orthopaedic Surgery 12211 Kirby Dr, Suite 200, Houston, TX 77045-4859 2017-02-09
1033657002 Tmh Physician Associates Pllc Orthopaedic Surgery 5505 West Loop S Ste 100, Houston, TX 77081 2017-02-09
1407266844 Mark R Rogers Md Pa Orthopaedic Surgery 12000 Richmond Ave Ste 370, Houston, TX 77082-2964 2014-05-07
1639335359 James Matthew Gregory Orthopaedic Surgery 929b Gessner Rd Ste 100, Houston, TX 77024-2854 2008-08-01
1801059977 Angelo Dushi Parameswaran Orthopaedic Surgery 22485 Tomball Pkwy Ste 2100, Houston, TX 77070-1560 2008-07-08
1457499071 Anastassios Karistinos Orthopaedic Surgery 6620 Main Street Suite 1325, Houston, TX 77030 2007-02-03
1770673428 Mark Stephen Adickes Orthopaedic Surgery 7200 Cambridge St Fl 10, Houston, TX 77030-4202 2006-10-13
1093322075 Para-raghu, LLC Orthopaedic Surgery 2302 Fannin St Ste 410, Houston, TX 77002-9135 2020-09-24
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Competitor

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City HOUSTON
Zip Code 77030

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Dataset Information

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.

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