SAM HOUSTON HEART AND VASCULAR CENTER PLLC (NPI# 1639620529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639620529 |
| Entity Type | Organization |
| Organization Name | SAM HOUSTON HEART AND VASCULAR CENTER PLLC |
| Other Organization Name | BASHIR AL-KADDOUMI, MD,PA |
| Practice Address |
18220 State Highway 249 Suite 205 Houston TX 77070-4347 |
| Mailing Address |
10618 Blithe Oak Ct Tomball TX 77375-0136 |
| Practice Telephone | 8322412001 |
| Practice Fax Number | 2815477464 |
| Mailing Telephone | 2165020026 |
| Mailing Fax Number | 2815477464 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | BASHIR AL-KADDOUMI (PRESIDENT/ CEO) |
| Authorized Official Telephone | 2165020026 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
P1959 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 365724901 | 05 |
| Other Name | Type Code |
|---|---|
| Bashir Al-Kaddoumi, MD,PA | Other Name - Individual/Organization |
| Street Address |
18220 STATE HIGHWAY 249 SUITE 205 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070-4347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912999483 | James Patrick Weller | Emergency Medicine | 18220 State Highway 249, Houston, TX 77070-4347 | 2005-08-19 |
| 1396350963 | Janet Nguyen | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2020-09-10 |
| 1750999116 | Monica Kocel | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2020-07-21 |
| 1558912378 | Teresa Tauriello | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-09-23 |
| 1215598180 | Cesar Amaya Romero | Specialist/Technologist, Other | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-06-21 |
| 1972169050 | Jacqueline Rose Semenoff | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-05-14 |
| 1508326000 | Lac Anh.,pa | Internal Medicine | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-03-21 |
| 1952869901 | Richard Conrad Bear IIi | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-03-08 |
| 1811485337 | Richard W Brainerd IIi | Physical Medicine & Rehabilitation | 18220 State Highway 249, Houston, TX 77070-4347 | 2018-04-30 |
| 1194238998 | Suna Cai-ng | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2017-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865737 | Apex Cardiology of Houston, Pllc | Internal Medicine | 11914 Astoria Blvd Ste 410, Houston, TX 77089-6049 | 2017-07-27 |
| 1952417305 | Medical Center Heart Consultants Pllc | Internal Medicine | 6400 Fannin #2220, Medical Center Heart Consultants Pllc, Houston, TX 77030-5306 | 2006-08-21 |
| 1982694253 | Vasudev B Shenoy | Internal Medicine | 509 W Tidwell Rd Ste 130, Houston, TX 77091-4356 | 2005-10-26 |
| 1477103943 | Younis Cardiology Associates Pllc | Internal Medicine | 6560 Fannin St Ste 1750, Houston, TX 77030-2725 | 2019-09-17 |
| 1659833390 | Ctx Care of Tx V, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1639631377 | Ctx Care of Tx Vi, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1962964619 | Ctx Care of Tx, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1780146407 | Ctx Care of Tx II, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1760944490 | Ctx Care of Tx IIi, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1811459548 | Ctx Care of Tx Iv, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
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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.