MARY E EDGERTON (NPI# 1699790766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699790766 |
| Entity Type | Individual |
| Full Name | MARY E EDGERTON |
| Credential | MD |
| Practice Address |
1515 Holcombe Blvd Houston TX 77030-4009 |
| Mailing Address |
Po Box 4439 Houston TX 77210-4439 |
| Practice Telephone | 7137926161 |
| Mailing Telephone | 7137922991 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
M4769 | TX | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME95161 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274876200 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 41050 | 01 |
| TX | BCBS (MDACC) | 8S2503 | 01 |
| TX | 194617001 (MDACC) | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306223508 | Mary Edgerton | Occupational Therapist | 370 Portland Ave, Brentwood Center for Health and Rehabilitation, Yarmouth, ME 04096 | 2015-04-27 |
| 1033342308 | Mary M Edgerton | Physical Therapist | 300 Derry Rd, Hudson, NH 03051-3023 | 2009-09-02 |
| Street Address |
1515 HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102126 | Najat Daw Bitar | Pediatrics | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2005-05-23 |
| 1447851852 | Jamie Dockery | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-11-03 |
| 1912507138 | Evelin Lidiet Umanzor | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-27 |
| 1285232447 | Federico A Oppliger Boettcher | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-10 |
| 1043817026 | Lovette Noble Alegado | Nurse Practitioner | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-10-03 |
| 1578179297 | Reem Karami | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-09-17 |
| 1093328973 | Shaun Brian Tindall II | Nurse Anesthetist, Certified Registered | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-28 |
| 1649882879 | Luana Guimaraes De Sousa | Student in an Organized Health Care Education/Training Program | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-19 |
| 1225648934 | Karizza J Cruz | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-06 |
| 1023628377 | Damaris Masila | Registered Nurse | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840730 | Peachy Ridgway Gilmer Jr. | Pathology | 35 Tiel Way, Houston, TX 77019-1509 | 2016-02-05 |
| 1992189559 | Lina Abdul Karim | Pathology | 1515 Holcombe Blvd # 085, Houston, TX 77030-4000 | 2015-07-14 |
| 1346622834 | Brooke Blake | Pathology | 1861 Old Spanish Trl, Houston, TX 77054-2001 | 2015-06-22 |
| 1215315619 | Andreia Nogueira Barbieri | Pathology | 6565 Fannin St # M1-076, Houston, TX 77030-2703 | 2015-05-18 |
| 1174900146 | Ghadah Al Sannaa | Pathology | 7903 Windswept Ln, Houston, TX 77063 | 2015-04-29 |
| 1770992364 | Leo Joseph Williams Jr. | Pathology | 11726 Legend Manor Dr, Houston, TX 77082-3076 | 2014-08-07 |
| 1851737845 | Nicola E Dundas | Pathology | 2525 W. Bellfort Avenue, Suite 120, Houston, TX 77054-5024 | 2013-05-16 |
| 1720423270 | Joshua Baalwa | Pathology | 5656 Kelley St Dept Of, Houston, TX 77026-1967 | 2013-05-09 |
| 1518301613 | Mhair Dekmezian | Pathology | 3732 Glen Haven Blvd, Houston, TX 77025-1205 | 2013-04-19 |
| 1841634110 | Anneliese Velez-perez | Pathology | 2525 W. Belfort Avenue, Suite 120, Houston, TX 77054-5024 | 2013-04-17 |
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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.