MEDROD MANAGEMENT SERVICES LLC (NPI# 1750734695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750734695 |
| Entity Type | Organization |
| Organization Name | MEDROD MANAGEMENT SERVICES LLC |
| Practice Address |
312 W Clay St Houston TX 77019-4405 |
| Practice Telephone | 2814636309 |
| Mailing Telephone | 2814636309 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | CHRIS ORTIZ (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2814636309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
312 W CLAY ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77019-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337802 | Phong Vo | Social Worker | 1501 Crocker Street, Suite Two, Houston, TX 77019 | 2020-02-08 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1619445368 | Comfort Bosede Sofayo | Nurse Practitioner | 2506 Kingston St, Apt 2, Houston, TX 77019 | 2018-11-09 |
| 1659866366 | Dena Furman | Dietitian, Registered | 2221 W Dallas St Apt 381, Houston, TX 77019 | 2018-06-25 |
| 1255844494 | Kandi Denise Gamble | Licensed Practical Nurse | 1900 West Gray St, 130732, Houston, TX 77019 | 2017-11-09 |
| 1437668217 | Lawanda Hill | Psychologist | 2514 Kingston Street, Unit One, Houston, TX 77019 | 2017-09-25 |
| 1841715034 | The Vitalus Group LLC | Clinical Medical Laboratory | 2727 Allen Parkway Suite 1915, Houston, TX 77019 | 2017-08-08 |
| 1952825960 | Krista Bryla | Dietitian, Registered | 2027 Woodhead St, Houston, TX 77019 | 2017-08-01 |
| 1770015745 | George Ross Malik | Physical Medicine & Rehabilitation | 1005 S Shepherd Dr, Apt 412, Houston, TX 77019 | 2017-03-29 |
| 1437601390 | Montrose Eye Care, Pllc | Optometrist | 520 Waugh Dr, Houston, TX 77019 | 2016-10-26 |
| Find all providers in zip 77019 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1619526563 | Uma Surgical Assistant Services, LLC. | Physician Assistant | 4517 Benning Dr, Houston, TX 77035-6005 | 2019-09-04 |
| 1417503467 | Superior Surgical Services, LLC | Physician Assistant | 5527 Yorkwood St, Houston, TX 77016 | 2019-08-15 |
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1558829598 | Charlotte Peeters | Physician Assistant | 6621 Fannin St Ste D0600.33, Houston, TX 77030-2358 | 2019-03-08 |
| 1689148702 | Erin Danielle Schulte | Physician Assistant | 3 Hermann Museum Circle Dr Apt 4414, Houston, TX 77004-7969 | 2019-01-12 |
| 1972074532 | Nationwide Surgical Resources LLC | Physician Assistant | 7600 Burgoyne Rd Unit 207, Houston, TX 77063-3104 | 2018-12-07 |
| 1891264446 | Taylor K Rubin | Physician Assistant | 1140 Business Center Dr Ste 101, Houston, TX 77043-2740 | 2018-11-13 |
| 1679049522 | Jacob Paul Landry | Physician Assistant | 18108 S Parkview Dr Apt I17, Houston, TX 77084-6578 | 2018-10-18 |
| Find all providers in HOUSTON | ||||
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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.