SAMIR PRADEEP SHIRODKAR (NPI# 1679774459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679774459 |
| Entity Type | Individual |
| Full Name | SAMIR PRADEEP SHIRODKAR |
| Credential | MD |
| Practice Address |
9305 Pinecroft Dr Suite 104 The Woodlands TX 77380-3482 |
| Practice Telephone | 9364411005 |
| Practice Fax Number | 9365211138 |
| Mailing Telephone | 9364411005 |
| Mailing Fax Number | 9365211138 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | N9644 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP MEDICAID NUMBER | 094010801 | 01 |
| TX | GROUP MEDICARE NUMBER | 00J21A | 01 |
| Street Address |
9305 PINECROFT DR SUITE 104 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77380-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720040652 | Larry Long | Physician Assistant | 9305 Pinecroft Dr, Suite 101, The Woodlands, TX 77380-3482 | 2006-04-05 |
| 1144858960 | Meghan Piro | Physical Therapist | 9305 Pinecroft Dr, The Woodlands, TX 77380-3482 | 2020-03-28 |
| 1124492541 | Memorial Hermann Surgery Center Pinecroft, LLC | Clinic/Center | 9305 Pinecroft Dr, Suite 200, The Woodlands, TX 77380-3482 | 2015-11-23 |
| 1023491982 | Ut Physicians | Pediatrics | 9305 Pinecroft Dr, Ste 400, The Woodlands, TX 77380-3482 | 2015-07-09 |
| 1609203793 | Janice Guillot Jeansonne | Nurse Practitioner | 9305 Pinecroft Dr, Suite 300, The Woodlands, TX 77380-3482 | 2013-10-03 |
| 1073847042 | Scott Taylor Bassett | Internal Medicine | 9305 Pinecroft Dr, Ste 300, The Woodlands, TX 77380-3482 | 2009-09-23 |
| 1588895312 | Paula Marie Ramey-perez | Audiologist | 9305 Pinecroft Dr, The Woodlands, TX 77380-3223 | 2009-07-28 |
| 1356545958 | Alicia Taskara Waits | Anesthesiology | 9305 Pinecroft Dr, The Woodlands, TX 77380-3223 | 2007-06-14 |
| 1457449191 | Hilton Wong Yee | Plastic Surgery | 9305 Pinecroft Dr, Suite 303, The Woodlands, TX 77380-3223 | 2006-10-10 |
| 1194828020 | John C Rogers | Family Medicine | 9305 Pinecroft Dr, S 301, The Woodlands, TX 77380-3223 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874034 | Elevated Neuro LLC | Specialist/Technologist, Other | 719 Sawdust Rd Ste 213, The Woodlands, TX 77380 | 2019-01-10 |
| 1588139851 | Sara Barchie | Dietitian, Registered | 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 | 2018-10-12 |
| 1730664988 | Global Bionics, LLC | Durable Medical Equipment & Medical Supplies | 1001 Medical Loop, Ste 220, Spring, TX 77380 | 2018-10-03 |
| 1104309350 | Kristina Nicole Zills | Psychologist | 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 | 2018-09-13 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1821517103 | Catalyst Medical Suites, LLC | Clinic/Center | 1544 Sawdust Rd Ste 280, Spring, TX 77380 | 2017-09-18 |
| 1114440898 | Elanor Sung | Massage Therapist | 26103 I 45, Ste 102, The Woodlands, TX 77380 | 2017-07-25 |
| 1043732555 | Chinyere Obiakwata | Nurse Practitioner | 201 Pruitt Rd Apt 430, Spring, TX 77380 | 2017-07-17 |
| 1295261055 | Nafeiza Persaud | Counselor | 25301 Borough Park Dr Ste 125, Spring, TX 77380 | 2017-05-11 |
| Find all providers in zip 77380 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1144289026 | Stephen Michael Schatz | Urology | 17198 St Lukes Way Ste 410, The Woodlands, TX 77384 | 2006-03-21 |
| 1528445855 | Christopher David Kosarek | Urology | 17350 St Lukes Way Ste 200, The Woodlands, TX 77384-4103 | 2015-05-06 |
| 1598917106 | Urology Specialists Pa | Urology | 17198 St Lukes Way, Suite 410, The Woodlands, TX 77384-8011 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619587169 | Jasgurpreet Singh | Urology | 4310 Dunlavy St Apt 350, Houston, TX 77006-5312 | 2020-08-08 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1649780453 | Paul Bradley Md Pllc | Urology | 703 E Marshall Ave Ste 4009, Longview, TX 75601-5500 | 2017-10-06 |
| 1154857977 | Darren M. Chapman M.d., Pllc | Urology | 10970 Shadow Creek Pkwy # 255, Pearland, TX 77584-0100 | 2017-05-11 |
| 1114308467 | Kashyap Shatagopam | Urology | 1900 Scenic Dr Ste 2222, Georgetown, TX 78626-7703 | 2015-06-12 |
| 1114311933 | Marshall Stein | Urology | 7777 Southwest Fwy Ste 540, Houston, TX 77074-1809 | 2015-03-19 |
| 1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
| 1366853152 | Lawrence Tsai | Urology | 12319 N Mopac Expy Ste 200, Austin, TX 78758-2497 | 2014-05-14 |
| 1558780031 | Rachel Sosland | Urology | 4207 James Casey St Ste 107, Austin, TX 78745-1192 | 2014-04-10 |
| 1922425230 | Boston Medical Group - Texas, P.a. | Urology | 1776 Yorktown St Ste 110, Houston, TX 77056-4138 | 2014-03-25 |
| Find all providers with the same taxonomy | ||||
| City | THE WOODLANDS |
| Zip Code | 77380 |
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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.