DR. CLARISSE DJUKOM (NPI# 1730418898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730418898 |
Entity Type | Individual |
Full Name | DR. CLARISSE DJUKOM |
Credential | M.D. |
Practice Address |
3102 69th St Galveston TX 77551-2191 |
Practice Telephone | 4095992602 |
Mailing Telephone | 4095992602 |
Enumeration Date | 2009-12-18 |
Last Update Date | 2012-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
BP20035793 | TX | Allopathic & Osteopathic Physicians |
Street Address |
3102 69TH ST |
City | GALVESTON |
State | TX |
Zip Code | 77551-2191 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609332154 | Houston Mint Dentistry, Pllc | Dentist | 6610 Seawall Blvd, Galveston, TX 77551 | 2019-02-20 |
1700379302 | Hasaan Sorathia | Dentist | 6026 Seawall Blvd, Galveston, TX 77551 | 2018-06-08 |
1821501875 | Galveston Er Operations, LLC | Clinic/Center | 4222 Seawall Blvd, Galveston, TX 77551 | 2017-11-13 |
1588101208 | Tico Telehealth Inc. | Clinic/Center | 4624 Fort Crockett Blvd, Galveston, TX 77551 | 2017-01-20 |
1538548565 | Vista Smiles Pllc | Dentist | 6610 Seawall Blvd., Galveston, TX 77551 | 2015-05-22 |
1649617085 | Aic Primary Care Pllc | Family Medicine | 2808 61st St, Suite 200, Galveston, TX 77551 | 2013-05-24 |
1043522865 | Paige Carlin | Pharmacist | 2931 Central City Ave, Galveston, TX 77551 | 2010-07-09 |
1124206503 | Lexington Morehead Cboc | Clinic/Center | 1101 61st Street, Galveston Island, TX 77551 | 2008-02-07 |
1588798367 | J Paul Abadie | Acupuncturist | 6217 Central City Blvd., Galveston, TX 77551 | 2007-03-15 |
1063551216 | Patricia Anne Lanier | Dentist | 2501 65th Street, Galveston, TX 77551 | 2007-02-05 |
Find all providers in zip 77551 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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 |
---|---|---|---|---|
1871837377 | William Benedict Norbury | Surgery | 815 Market St, Shriners Hospitals for Children - Galveston, Galveston, TX 77550-2725 | 2012-11-21 |
1386848950 | Carlos Javier Jimenez | Surgery | 301 University Blvd, University of Texas Medical Branch, Galveston, TX 77555-1220 | 2007-06-14 |
1184732182 | James J. Gallagher | Surgery | 815 Market St, Medical Staff Office, Galveston, TX 77550-2725 | 2006-08-29 |
1174631295 | Jong O. Lee | Surgery | 815 Market St, Medical Staff Office, Galveston, TX 77550-2725 | 2006-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851528335 | Erich Paul Gerhardt | Surgery | 910 E Houston St Ste 530, Tyler, TX 75702-8366 | 2009-06-11 |
1588752380 | Octavio Javier Garcia Sr. | Surgery | 822 Kinney St, Corpus Christi, TX 78401-3006 | 2006-10-10 |
1154355626 | David Lawrence Smith | Surgery | 4001 W 15th St Ste 425, Plano, TX 75093-5848 | 2006-07-10 |
1932149010 | James Gordon Cushman | Surgery | 18101 Point Lookout Dr Apt 103, Houston, TX 77058-3568 | 2006-06-07 |
1710977525 | Lorne Howar Blackbourne | Surgery | 2300 Round Rock Ave Ste 201, Round Rock, TX 78681-4026 | 2005-10-24 |
1811997059 | Scott H Norwood | Surgery | 1020 E Idel St, Tyler, TX 75701-2024 | 2005-07-29 |
1124438072 | Nestor Arita | Surgery | 1 Baylor Plz, 404d, Houston, TX 77030-3411 | 2014-04-30 |
1932469178 | Anthony Cahill | Surgery | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2012-05-22 |
1174815765 | Kara Monday | Surgery | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2011-05-14 |
1306157110 | Vincente Scott Nelson | Surgery | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2010-06-25 |
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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.