DR. JASON KELLY DEMATTIA (NPI# 1528013125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528013125 |
| Entity Type | Individual |
| Full Name | DR. JASON KELLY DEMATTIA |
| Credential | MD |
| Practice Address |
506 Graham Dr Suite 200 Tomball TX 77375-3346 |
| Practice Telephone | 2812553838 |
| Practice Fax Number | 2812553788 |
| Mailing Telephone | 2812553838 |
| Mailing Fax Number | 2812553788 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M2306 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
506 GRAHAM DR SUITE 200 |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569398 | Raka Chauhan Gohel | Pain Medicine | 506 Graham Dr, 240, Tomball, TX 77375-3346 | 2005-06-27 |
| 1396293965 | Bacas Interventional Pain Mangement | Anesthesiology | 506 Graham Dr, Suite 190, Tomball, TX 77375-3346 | 2016-09-13 |
| 1174076376 | Texas Elite Laboratory, Inc. | Clinical Medical Laboratory | 506 Graham Dr, Suite 190, Tomball, TX 77375-3346 | 2016-07-25 |
| 1043681612 | Ginny Jacobs | Clinical Medical Laboratory | 506 Graham Dr, Suite190, Tomball, TX 77375-3346 | 2015-10-08 |
| 1366824591 | Texas Gastroenterology Associates, P.a | Internal Medicine | 506 Graham Dr, #230, Tomball, TX 77375-3346 | 2015-06-24 |
| 1144634171 | Charles Robbins | Nurse Practitioner | 506 Graham Dr, Tomball, TX 77375-3346 | 2014-06-18 |
| 1649512096 | Spring Creek Anesthesia, Pllc | Anesthesiologist Assistant | 506 Graham Dr, Suite 240, Tomball, TX 77375-3346 | 2013-03-25 |
| 1861768483 | Caring Professional Aco Group | Family Medicine | 506 Graham Dr, Suite 200, Tomball, TX 77375-3346 | 2012-03-28 |
| 1538462619 | Kelly Tanner Teel | Physician Assistant | 506 Graham Dr, Suite 170, Tomball, TX 77375-3346 | 2010-12-13 |
| 1730412271 | Texas Family Medicine Center, Pa | Family Medicine | 506 Graham Dr, Suite 200, Tomball, TX 77375-3346 | 2009-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326318239 | Charles E. Reinhardt Do Pa | Family Medicine | 311 N Sycamore St, Tomball, TX 77375-4712 | 2012-01-09 |
| 1770798050 | Kimberley Ann Schroeder | Family Medicine | 115 Baker Dr, Tomball, TX 77375-4211 | 2007-05-11 |
| 1548338619 | Chante Monique Ellison-hodges | Family Medicine | 24721 Tomball Pkwy, Tomball, TX 77375-7727 | 2006-11-30 |
| 1962509414 | Lance Mark Feray | Family Medicine | 720 Lawrence St, Suite 100, Tomball, TX 77375-6455 | 2006-09-19 |
| 1235236787 | Cotton Daniel Feray | Family Medicine | 720 Lawrence St., Suite 100, Tomball, TX 77375 | 2006-09-19 |
| 1427163955 | Michael Gerard Casagrande | Family Medicine | 13628 Michel Rd, Tomball, TX 77375-6492 | 2006-08-21 |
| 1790703585 | Ep Descant II Mdpa | Family Medicine | 909 Graham Dr, Suite D, Tomball, TX 77375-6473 | 2006-07-18 |
| 1235163403 | Shaukath Zahiruddin | Family Medicine | 28465 State Highway 249, Tomball, TX 77375-3307 | 2006-07-11 |
| 1982632709 | Paula Lynn Bryant | Family Medicine | 24727 Tomball Pkwy, Tomball, TX 77375-7877 | 2006-06-29 |
| 1568426153 | George J Murillo | Family Medicine | 425 Holderrieth Blvd, Ste 112, Tomball, TX 77375-4543 | 2006-04-12 |
| Find all providers in TOMBALL | ||||
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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.