DR. MICHAEL PERICLES SIROPAIDES I (NPI# 1790715035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790715035 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PERICLES SIROPAIDES I |
| Credential | MD |
| Practice Address |
17903 W Lake Houston Pkwy Ste 201 Humble TX 77346-3954 |
| Practice Telephone | 2818122778 |
| Practice Fax Number | 2818121846 |
| Mailing Telephone | 7137969696 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
H5065 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 619368YMDK | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8901 Fm 1960 Bypass Rd W Ste 101, Humble, TX 773384019 | 2814467173 | 2814463841 |
| Street Address |
17903 W LAKE HOUSTON PKWY STE 201 |
| City | HUMBLE |
| State | TX |
| Zip Code | 77346-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831599018 | Kristen Sheldon | Nurse Practitioner | 17903 W Lake Houston Pkwy, Suite 201, Humble, TX 77346 | 2014-08-25 |
| 1568882082 | Chinelo Ikpeama | Dermatology | 17903 W Lake Houston Pkwy, Humble, TX 77346 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
| 1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
| 1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
| 1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
| 1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
| 1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
| 1770953408 | Alliance Mri Lake Houston, LLC | Clinic/Center | 5514 Atascocita Road, Suite 180, Humble, TX 77346 | 2015-10-07 |
| 1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
| 1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
| 1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
| Find all providers in zip 77346 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649486168 | Rajiv Agarwal | Internal Medicine | 18980 W Memorial Dr Ste 100, Humble, TX 77338-4472 | 2007-05-14 |
| 1497782858 | Natasha Iliskovic | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2006-06-28 |
| 1942267448 | Mohan Jacob | Internal Medicine | 18955 Memorial North, Suite 440, Humble, TX 77338 | 2006-04-27 |
| 1801862156 | E. John R. Samuel | Internal Medicine | 18955 N Memorial Dr Ste 200, Humble, TX 77338-4386 | 2006-02-27 |
| 1720550015 | Rajiv Agarwal Md Pa | Internal Medicine | 18980 W Memorial Dr Ste 100, Humble, TX 77338-4472 | 2018-12-26 |
| 1750795225 | Humble Cardio and Endovascular | Internal Medicine | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2014-06-12 |
| 1003229378 | Humble Cardiac and Endovascular | Internal Medicine | 1475 Fm 1960 Bypass Rd E, Humble, TX 77338-3909 | 2014-06-04 |
| 1609210897 | David Brian Wong | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2013-04-18 |
| 1700229234 | Sanjay S Lulla | Internal Medicine | 17903 W Lake Houston Pkwy Ste 201, Humble, TX 77346 | 2013-04-15 |
| 1710237250 | Khaled Imad Khalaf | Internal Medicine | 18450 Highway 59 N, Humble, TX 77338-4404 | 2012-09-12 |
| Find all providers in HUMBLE | ||||
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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.