PREVITY SURGICAL EAST, PLLC (NPI# 1710327184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710327184 |
| Entity Type | Organization |
| Organization Name | PREVITY SURGICAL EAST, PLLC |
| Other Organization Name | PREVITY CLINIC FOR SURGICAL CARE |
| Practice Address |
5030 Crenshaw Rd Suite 140 Pasadena TX 77505-3140 |
| Mailing Address |
740 Hospital Dr Suite 280 Beaumont TX 77701-4664 |
| Practice Telephone | 4098359500 |
| Mailing Telephone | 4098359500 |
| Mailing Fax Number | 4098359501 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | DR. GARRETT K PEEL (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4098359500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Previty Clinic for Surgical Care | Other Name - Individual/Organization |
| Street Address |
5030 CRENSHAW RD SUITE 140 |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184707887 | Abraham S John | Family Medicine | 5030 Crenshaw Rd, Suite 120, Pasadena, TX 77505-3140 | 2006-10-24 |
| 1689133456 | Kelly Brooke Padgett | Family Medicine | 5030 Crenshaw Rd, Pasadena, TX 77505-3140 | 2019-03-19 |
| 1033292743 | Deepak Pattanaik | Family Medicine | 5030 Crenshaw Rd, Suite 120, Pasadena, TX 77505-3140 | 2006-10-24 |
| 1083797799 | Kent D Schnell | Internal Medicine | 5030 Crenshaw Rd, Suite 120, Pasadena, TX 77505-3140 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780068189 | Pro Surgical Inc | Surgery | 88 N Fair Oaks Ave Ste 105, Pasadena, CA 91103-3655 | 2015-07-15 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1710319017 | Premiere Surgical Specialists, A Professional Corporation | Surgery | 35 E Glenarm St, Pasadena, CA 91105-3418 | 2013-08-08 |
| 1376860346 | Gloria Marie F. Kimie Tumbaga | Surgery | 1294 E Colorado Blvd, Pasadena, CA 91106-1901 | 2010-04-29 |
| 1346417714 | Arthur Joseph Donovan | Surgery | 111 S Orange Grove Blvd Apt 308, Pasadena, CA 91105-1756 | 2008-05-14 |
| 1356549398 | N V Danekar M D A Professional Corporation | Surgery | 3235 Villa Highlands Dr, Pasadena, CA 91107-1537 | 2007-07-10 |
| 1235336033 | David J Lourie Md Inc Wes J Powell Md Inc David R Martin Md Inc | Surgery | 50 Bellefontaine St Ste 404, Pasadena, CA 91105-3132 | 2007-06-27 |
| 1215022561 | Jean Claude Henry | Surgery | 655 S Euclid Ave, Pasadena, CA 91106-3732 | 2006-10-03 |
| 1205879822 | Fernando E Miranda Sr. | Surgery | 4301b Vista Rd, #100, Pasadena, TX 77504-2117 | 2006-06-13 |
| 1013966571 | David J Lourie | Surgery | 950 S Arroyo Pkwy, Fl 3, Pasadena, CA 91105-3930 | 2006-05-10 |
| Find all providers in PASADENA | ||||
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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.