MARK MAFFET (NPI# 1639259039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639259039 |
| Entity Type | Individual |
| Full Name | MARK MAFFET |
| Credential | MD |
| Practice Address |
16811 Southwest Fwy Sugar Land TX 77479 |
| Mailing Address |
16811 Southwest Fwy Sugar Land TX 77479-4728 |
| Practice Telephone | 2816904678 |
| Mailing Telephone | 2816904678 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | H7633 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
H7633 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 128829210 | 05 | |
| TX | RR MEDICARE | P00894860 | 01 |
| TX | 128829208 | 05 | |
| TX | 128829212 | 05 | |
| TX | 128829211 | 05 | |
| TX | PENDING | 05 | |
| TX | US DEPT OF LABOR | 610119701 | 01 |
| TX | 128829209 | 05 | |
| TX | 128829213 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 1639259039 | 01 |
| TX | MEDICARE RR | P00916187 | 01 |
| TX | RR MEDICARE | P01089605 | 01 |
| TX | US DEPT OF LABOR | 610119705 BROOKS | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 Brooks St, Sugar Land, TX 774783835 | 2816904678 | 2815658808 |
| 16811 Southwest Fwy, Sugar Land, TX 77479 | 2816904678 |
| Street Address |
16811 SOUTHWEST FWY |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963834 | Thomas B Rivers | Orthopaedic Surgery | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2005-06-22 |
| 1679040331 | Mckenna Jo Merten | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2018-10-30 |
| 1013405828 | Meaghan Shannon | Specialist/Technologist | 16811 Southwest Fwy, Sugar Land, TX 77479-4728 | 2018-04-26 |
| 1669923728 | Adalie Raymis | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2016-10-24 |
| 1821458563 | Melissa Odell | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479-4728 | 2016-02-23 |
| 1063889475 | Jamie Nicole Radley | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2015-09-01 |
| 1053668061 | Christina M Placker | Physician Assistant | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2012-08-08 |
| 1518214956 | Kyle Borque | Orthopaedic Surgery | 16811 Southwest Fwy, Sugar Land, TX 77479 | 2012-08-03 |
| 1215226303 | Elton Chen | Internal Medicine | 16811 Southwest Fwy, Suite 300, Sugar Land, TX 77479-4728 | 2011-03-30 |
| 1700108685 | Stephen George Melancon | Specialist/Technologist | 16811 Southwest Fwy, Suite #200, Sugar Land, TX 77479-4728 | 2010-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336395979 | Pradeep Kodali | Orthopaedic Surgery | 1429 Highway 6 South, Sugar Land, TX 77478-5135 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1194223644 | James R. Bocell | Orthopaedic Surgery | 2639 Fenwood Rd, Houston, TX 77005-3435 | 2018-01-30 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 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 |
| 1184162158 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 1677 W Baker Road, Suite 1701, Baytown, TX 77521-2422 | 2017-02-09 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1831637800 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E League City Parkway, Ste 200, League City, TX 77573 | 2017-02-09 |
| 1326453168 | Dushi Parameswaran, Md Pa | Orthopaedic Surgery | 481 S Katy Fort Bend Rd # 210, Katy, TX 77494-0815 | 2014-06-30 |
| 1407266844 | Mark R Rogers Md Pa | Orthopaedic Surgery | 12000 Richmond Ave Ste 370, Houston, TX 77082-2964 | 2014-05-07 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
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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.