DR. JOHN BADLISSI (NPI# 1578753265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578753265 |
| Entity Type | Individual |
| Full Name | DR. JOHN BADLISSI |
| Credential | MD |
| Practice Address |
2400 Highway 365 Ste 205 Nederland TX 77627-6249 |
| Mailing Address |
2400 Highway 365 Ste 205 Nederland TX 77627-6250 |
| Practice Telephone | 4097221197 |
| Mailing Telephone | 4097221197 |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2012-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | N0620 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2400 HIGHWAY 365 STE 205 |
| City | NEDERLAND |
| State | TX |
| Zip Code | 77627-6249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144229659 | William Dewitt George Jr. | Specialist | 2400 Highway 365, Suite 201, Nederland, TX 77627-6249 | 2005-07-18 |
| 1396198669 | Justin Feldschau | Registered Nurse | 2400 Highway 365, Suite 201, Nederland, TX 77627-6249 | 2016-07-21 |
| 1790079929 | Eduardo Leon Jaramillo | Obstetrics & Gynecology | 2400 Highway 365, Ste 207, Nederland, TX 77627-6249 | 2011-06-06 |
| 1659528032 | John K Badlissi Md Pa | Internal Medicine | 2400 Highway 365, Suite 205, Nederland, TX 77627-6249 | 2008-08-27 |
| 1700067915 | James Thomson Shepherd | Internal Medicine | 2400 Highway 365, Suite 201, Nederland, TX 77627-6249 | 2007-11-15 |
| 1235358136 | Deep South Orthopedics and Sports Medicine | Orthopaedic Surgery | 2400 Highway 365, Suite 207, Nederland, TX 77627-6249 | 2007-04-25 |
| 1801955349 | Michael P Thomas | Internal Medicine | 2400 Highway 365, Suite 201, Nederland, TX 77627-6249 | 2006-12-08 |
| 1942301130 | Mary Jane Sunga Castro | Family Medicine | 2400 Highway 365, Suite 201, Nederland, TX 77627-6249 | 2006-09-26 |
| 1477581205 | Eduardo L Jaramillo | Obstetrics & Gynecology | 2400 Highway 365, Suite 207, Nederland, TX 77627-6249 | 2006-06-29 |
| 1366424459 | Avila E Arcala | Family Medicine | 2400 Highway 365, Suite 201, Nederland, TX 77627-6249 | 2005-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635689 | Linda Christine White | Counselor | 2300 Fm 365, Suite 200, Nederland, TX 77627 | 2018-07-10 |
| 1790274462 | Anew Wellness, LLC | Family Medicine | 1005 Nederland Ave, Nederland, TX 77627 | 2018-05-08 |
| 1851800080 | Teekam Lohano, Md Pa | Pediatrics | 2400 Highway 365 Ste 107, Nederland, TX 77627 | 2017-09-20 |
| 1689198129 | Zachary Slay Cecil | Specialist/Technologist | 2101 N 18th St, Nederland, TX 77627 | 2017-07-26 |
| 1336521210 | Kristina Devillier | Counselor | 520 S Twin City Hwy Ste 106, Nederland, TX 77627 | 2015-06-26 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1346518032 | Kyler Counseling Pllc | Counselor | 320 N. 12th St., Nederland, TX 77627 | 2011-12-08 |
| 1093006082 | Gerzain Whitney Gomez | Dentist | 1320 Franklin Ave, Albritton Dental Associates, Nederland, TX 77627 | 2011-04-25 |
| 1689858102 | Chad Hammett M D Pllc | Specialist | 2200 Hwy 365, Nederland, TX 77627 | 2007-12-19 |
| 1760689244 | Jose Vicente Paloma Limjoco | Physical Therapist | 2324 Knickerbocker Drive, Nederland, TX 77627 | 2007-06-28 |
| Find all providers in zip 77627 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063609261 | Alliance Physicians Group of Texas, Pllc | Internal Medicine | 2210 Highway 365, Nederland, TX 77627-5506 | 2007-10-02 |
| 1134204357 | Rama D Veluswamy | Internal Medicine | 1323 S 27th St Ste 800, Nederland, TX 77627-6290 | 2006-10-26 |
| 1568470136 | Mid County Medical Group Pa | Internal Medicine | 2940 Spurlock Rd, Nederland, TX 77627-6313 | 2006-08-03 |
| 1427040815 | Sreedhar Polavarapu | Internal Medicine | 3216 Nederland Avenue, Nederland, TX 77627-7025 | 2005-08-22 |
| 1679571319 | William Joseph Novelli Jr. | Internal Medicine | 1509 S Highway 69, Nederland, TX 77627-7807 | 2005-07-07 |
| 1659528032 | John K Badlissi Md Pa | Internal Medicine | 2400 Highway 365, Suite 205, Nederland, TX 77627-6249 | 2008-08-27 |
| 1700067915 | James Thomson Shepherd | Internal Medicine | 2400 Highway 365, Suite 201, Nederland, TX 77627-6249 | 2007-11-15 |
| 1427199256 | William J. Novelli, Jr., Md, Pa | Internal Medicine | 1509 S Highway 69, Nederland, TX 77627-7807 | 2007-02-12 |
| 1801955349 | Michael P Thomas | Internal Medicine | 2400 Highway 365, Suite 201, Nederland, TX 77627-6249 | 2006-12-08 |
| 1518999226 | Kahtan A. Kaissi | Internal Medicine | 1300 Franklin Ave, Nederland, TX 77627-3949 | 2006-07-06 |
| Find all providers in NEDERLAND | ||||
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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.