DR. JACK CHENG-TSUNG HOU (NPI# 1790922896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790922896 |
Entity Type | Individual |
Full Name | DR. JACK CHENG-TSUNG HOU |
Credential | M.D. |
Practice Address |
1739 E Beverly Ave Ste 106 Kingman AZ 86409 |
Mailing Address |
1739 E Beverly Ave Ste 200 Kingman AZ 86409-3593 |
Practice Telephone | 9286818686 |
Practice Fax Number | 9286818690 |
Mailing Telephone | 9286818686 |
Mailing Fax Number | 9286818690 |
Enumeration Date | 2009-01-12 |
Last Update Date | 2018-06-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 51385 | AZ | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | 132236 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
15944 Los Serranos Country Club Dr, Ste 200, Chino Hills, CA 917093993 | 9096278521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861952699 | Jack Pu Hou | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # Sl50, New Orleans, LA 70112-2632 | 2019-03-20 |
1942616974 | Jack Hou | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2014-07-10 |
1922138361 | Jack Hou | Dentist | 411 Strander Blvd, Suite 102, Tukwila, WA 98188-2935 | 2007-03-06 |
Street Address |
1739 E BEVERLY AVE STE 106 |
City | KINGMAN |
State | AZ |
Zip Code | 86409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992286298 | Kingman Healthcare, Inc | Pharmacy | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409-3593 | 2018-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
1386702546 | Arizona Desert Dermatology and Surgery PC | Dermatology | 1700 Sycamore Avenue, Kingman, AZ 86409 | 2006-12-04 |
Find all providers in zip 86409 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487742201 | Roger E Nellans | Urology | 1739 E Beverly Ave, Suite 101, Kingman, AZ 86409-3593 | 2006-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245831379 | Thayne R Larson | Urology | 11900 N 102nd St, Scottsdale, AZ 85260-5928 | 2020-11-04 |
1386250835 | Urosouth Pllc | Urology | 6369 E Tanque Verde Rd Ste 160, Tucson, AZ 85715-3833 | 2020-09-21 |
1689286049 | Urosouth Pllc | Urology | 5240 E Knight Dr Ste 108, Tucson, AZ 85712-2122 | 2020-08-18 |
1558824763 | Kyle Scott Garcia | Urology | 1501 N Campbell Ave Rm 5325, Tucson, AZ 85724-0001 | 2019-04-14 |
1154886109 | Arizona Institute of Urology Pllc | Urology | 1521 E Tangerine Rd Ste 209, Oro Valley, AZ 85755-6218 | 2019-02-04 |
1427513472 | Arizona Institute of Urology Pllc | Urology | 395 N Silverbell Rd Ste 315, Tucson, AZ 85745-2980 | 2019-02-04 |
1881159838 | Arizona Institute of Urology Pllc | Urology | 516 E Whitehouse Canyon Rd Ste 160, Green Valley, AZ 85614-0543 | 2019-02-04 |
1558879759 | Alliance Oncology of Arizona, LLC | Urology | 2525 E Arizona Biltmore Cir Ste C236, Phoenix, AZ 85016-2130 | 2018-01-22 |
1659780583 | Wilfred Morris Potter | Urology | 10801 E. Happy Valley Road, #74, Scottsdale, AZ 85255 | 2014-08-05 |
1912327198 | Kris Miguel Cajipe | Urology | 15920 S 48th St Ste 100, Phoenix, AZ 85048-1003 | 2014-04-25 |
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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.