MCKENNA JO MERTEN (NPI# 1679040331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679040331 |
| Entity Type | Individual |
| Full Name | MCKENNA JO MERTEN |
| Other Name | MCKENNA JO MARTIN |
| Credential | PA-C |
| 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 | 2018-10-30 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA12325 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 392047202 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16811 Southwest Fwy # 200, Sugar Land, TX 774794728 | 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 |
| 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 |
| 1336370527 | Donald Dean Dominy IIi | Orthopaedic Surgery | 16811 Southwest Fwy, Sugar Land, TX 77479-4728 | 2009-08-05 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772845 | Sheila Renee Rahighi | Physician Assistant | 14015 Vinehill Dr, Sugar Land, TX 77498-2470 | 2020-05-20 |
| 1780143438 | Stephanie Khoo | Physician Assistant | 1327 Lake Pointe Pkwy Ste 325, Sugar Land, TX 77478-4097 | 2019-03-12 |
| 1629533294 | Lisa Patel | Physician Assistant | 1327 Lake Pointe Pkwy Ste 150, Sugar Land, TX 77478-4098 | 2019-02-07 |
| 1689107294 | Minh Ngo | Physician Assistant | 12218 Ashford Valley Dr, Sugar Land, TX 77478-6143 | 2017-04-10 |
| 1104364785 | Meher Fatabhoy | Physician Assistant | 11920 S Highway 6 Ste 1500, Sugar Land, TX 77498-5748 | 2017-02-03 |
| 1588052526 | Jennifer Lu | Physician Assistant | 16605 S.w. Freeway, Suite 320, Methodist Sugar Land Hospital, Medical Office Bldg 3, Sugar Land, TX 77479 | 2014-12-29 |
| 1861813396 | Bethany Marie Hubenak | Physician Assistant | 17510 W Grand Pkwy S Ste 310, Sugar Land, TX 77479-2648 | 2013-12-31 |
| 1356610679 | Iosolutions | Physician Assistant | 5210 Fountainbrook Ln, Sugar Land, TX 77479-4834 | 2011-12-14 |
| 1336315977 | Martin & Willard, LLC | Physician Assistant | 14019 Southwest Fwy Ste 301-438, Sugar Land, TX 77478-3563 | 2008-05-04 |
| 1801066014 | Marilyn Renee Seymour | Physician Assistant | 16675 Southwest Fwy Ste 105, Sugar Land, TX 77479 | 2008-03-04 |
| Find all providers in SUGAR LAND | ||||
| 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.