UT PHYSICIANS SPECIALTY SERVICES (NPI# 1578046520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578046520 |
| Entity Type | Organization |
| Organization Name | UT PHYSICIANS SPECIALTY SERVICES |
| Practice Address |
1602 Garth Rd Baytown TX 77520-7752 |
| Mailing Address |
Po Box 301448 Dallas TX 75303-1448 |
| Practice Telephone | 2818372700 |
| Practice Fax Number | 2818372708 |
| Mailing Telephone | 2818372700 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Authorized Official Name | ANDREW R CASAS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8323257325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 195996727 | 05 |
| Other Name | Type Code |
|---|---|
| UT PHYSICIANS ACO BAYTOWN CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013498690 | Ut Physicians Specialty Services | Pediatrics | 5516 Lockwood Dr., Houston, TX 77026-1919 | 2018-08-22 |
| 1366928418 | Ut Physicians Specialty Services | Pediatrics | 9105 N. Wayside Dr., Houston, TX 77028-1030 | 2018-07-12 |
| 1346726585 | Ut Physicians Specialty Services | Pediatrics | 5503 Fry Rd, Katy, TX 77449 | 2018-07-11 |
| 1568937100 | Ut Physicians Specialty Services | Pediatrics | 5656 Kelley St, Houston, TX 77026-1967 | 2018-10-10 |
| 1427534353 | Ut Physicians Specialty Services | Pediatrics | 4755 Aldine Mail Rte, Houston, TX 77039-5934 | 2018-07-13 |
| 1639665490 | Ut Physicians Specialty Services | Pediatrics | 818 Ringold St, Houston, TX 77188 | 2018-07-05 |
| 1619461407 | Ut Physicians Specialty Services | Pediatrics | 8901 Boone Rd, Houston, TX 77099 | 2018-06-15 |
| 1750875548 | Ut Physicians Specialty Services | Pediatrics | 1712 1st St E, Humble, TX 77338 | 2018-06-15 |
| 1467964965 | Ut Physicians Specialty Services | Pediatrics | 2620 E Crosstimbers St, Houston, TX 77093-8629 | 2017-10-25 |
| 1437670411 | Ut Physicians Specialty Services | Pediatrics | 1200 Binz St Ste 850, Houston, TX 77004-6933 | 2017-06-29 |
| Street Address |
1602 GARTH RD |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77520-7752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623084 | Harris County Hospital District | Pharmacy | 1602 Garth Rd, Pharmacy, Baytown, TX 77520-2410 | 2005-07-21 |
| 1487278669 | Diana Carolina Guevara | Dietitian, Registered | 1602 Garth Rd, Baytown, TX 77520-2410 | 2020-06-03 |
| 1528689064 | Galicia Cristina Beltran | Pharmacist | 1602 Garth Rd, Baytown, TX 77520-2410 | 2020-05-06 |
| 1477044980 | My-linh Tran Le | Pharmacist | 1602 Garth Rd, Baytown, TX 77520-2410 | 2018-05-21 |
| 1093167215 | Shanekwah Folami Melville | Nurse Practitioner | 1602 Garth Rd, Baytown, TX 77520-2410 | 2016-07-12 |
| 1346627213 | Brian Raymond Hite | Family Medicine | 1602 Garth Rd, Baytown, TX 77520-2410 | 2015-04-29 |
| 1942545181 | Mae Yim Loh | Pharmacist | 1602 Garth Rd, Pharmacy, Baytown, TX 77520-2410 | 2012-11-28 |
| 1720371453 | Llewellyn Basilio Canio | Family Medicine | 1602 Garth Rd, Baytown, TX 77520-2410 | 2011-05-27 |
| 1730472499 | Rabia Shaukat | Family Medicine | 1602 Garth Rd, Baytown, TX 77520-2410 | 2011-05-26 |
| 1538391149 | Tariq Mansoor | Family Medicine | 1602 Garth Rd, Baytown, TX 77520-2410 | 2009-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824828 | Stacy Duhe Jefferson | Counselor | 1009 Polly Ave., Baytown, TX 77520 | 2020-02-27 |
| 1194383745 | Keith A. Coburn | Dentist | 1224 Kilgore Rd., Baytown, TX 77520 | 2019-05-30 |
| 1427530856 | Domenique Roszette Gee | Specialist/Technologist | 2500 Market Street, Baytown, TX 77520 | 2018-09-01 |
| 1558793323 | Sasan Yadollahibastani | Dentist | 1105 E. James Ave., Baytown, TX 77520 | 2013-08-05 |
| 1346581931 | Trudy B Istre | Nurse Practitioner | 2610 N. Alexander Dr. Suite 201, Baytown, TX 77520 | 2013-03-07 |
| 1871816272 | Hyacynthia Mary Leonce-james | Counselor | 1610 James Bowie, Suite B108, Baytown, TX 77520 | 2010-03-12 |
| 1457507444 | Harbor Hospice of Baytown, Lp | Hospice Care, Community Based | 1610 James Bowie Dr., Suite D-111, Baytown, TX 77520 | 2008-08-11 |
| 1790982551 | Gregory Thomas Laliberte | Counselor | 401 West Texas Avenue, Cease Addiction Office, Baytown, TX 77520 | 2007-06-27 |
| 1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
| 1003943655 | Steven S Coggins Md | Anesthesiology | 9042 Northpoint Dr, Baytown, TX 77520 | 2007-02-28 |
| Find all providers in zip 77520 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962529602 | Cynthia L. Bureau | Pediatrics | 1610 James Bowie Dr Ste B101, Baytown, TX 77520-3367 | 2007-03-26 |
| 1417062639 | Shannon Eugene Keith Kluppel | Pediatrics | 1000 E James St, Baytown, TX 77520-5820 | 2006-08-20 |
| 1306874706 | John R Cochran | Pediatrics | 4301 Garth Rd., 302, 306 and 400, Baytown, TX 77521-3159 | 2006-06-28 |
| 1073149480 | Shannon Kluppel Md | Pediatrics | 1000 E James St, Baytown, TX 77520-5820 | 2020-03-17 |
| 1659889558 | Hummingbird Pediatrics Pllc | Pediatrics | 2306 N Alexander Dr, Baytown, TX 77520-3455 | 2018-01-14 |
| 1174969307 | Hongmei Husted | Pediatrics | 4301 Garth Rd # 306400, Baytown, TX 77521 | 2013-05-15 |
| 1760724884 | Ashley E Garibaldi | Pediatrics | 7599 Garth Rd, Suite 600, Baytown, TX 77521-7721 | 2013-03-27 |
| 1144516766 | Arpita V Shah | Pediatrics | 4301 Garth Rd, Ste 400, Baytown, TX 77521-3153 | 2011-06-22 |
| 1669762662 | Autumn Pruette | Pediatrics | 7599 Garth Rd, Suite 600, Baytown, TX 77521-7721 | 2011-04-11 |
| 1669792198 | Elizabeth M Bentley | Pediatrics | 7599 Garth Rd, Suite 600, Baytown, TX 77521-7721 | 2010-06-07 |
| Find all providers in BAYTOWN | ||||
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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.