TOL HEALTHCARE, LLC (NPI# 1801429170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801429170 |
| Entity Type | Organization |
| Organization Name | TOL HEALTHCARE, LLC |
| Practice Address |
2626 S Loop W Ste 265 Houston TX 77054-5636 |
| Practice Telephone | 2813890366 |
| Mailing Telephone | 2813890366 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | BIJU OOMMEN (OWNER) |
| Authorized Official Telephone | 2813890366 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2626 S LOOP W STE 265 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-5636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144219858 | Roberto J Hernandez | Internal Medicine | 2626 S Loop W Ste 265, Houston, TX 77054 | 2005-10-14 |
| 1598398422 | Dalesia Baldwin | Nurse Practitioner | 2626 S Loop W Ste 265, Houston, TX 77054-5636 | 2020-02-19 |
| 1497213052 | Hannah Muthondu | Nurse Practitioner | 2626 S Loop W Ste 265, Houston, TX 77054-5636 | 2019-03-03 |
| 1588152656 | Naana Kessey | Nurse Practitioner | 2626 S Loop W Ste 265, Houston, TX 77054-5636 | 2018-04-24 |
| 1952803959 | Sunitha Hari | Nurse Practitioner | 2626 S Loop W Ste 265, Houston, TX 77054-5636 | 2018-03-06 |
| 1932629813 | Joyce Kennedy | Nurse Practitioner | 2626 S Loop W Ste 265, Houston, TX 77054-5636 | 2017-06-22 |
| 1659745917 | Terence A Achuo | Nurse Practitioner | 2626 S Loop W Ste 265, Houston, TX 77054-5636 | 2015-11-23 |
| 1548637085 | Patricia Garza | Nurse Practitioner | 2626 S Loop W Ste 265, Houston, TX 77054 | 2015-09-01 |
| 1447664651 | Kavitha Rajan | Internal Medicine | 2626 S Loop W Ste 265, Houston, TX 77054-5636 | 2014-06-16 |
| 1891123758 | Mallory Durst | Physician Assistant | 2626 S Loop W Ste 265, Houston, TX 77054-5636 | 2013-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1841830288 | Kennosa Kensha Gunn | Internal Medicine | 1300 Bay Area Blvd Ste 150, Houston, TX 77058-2505 | 2020-01-14 |
| 1427444793 | Geriatric Assessment Center LLC | Internal Medicine | 40 Cypress Creek Pkwy, Suite 143, Houston, TX 77090-3530 | 2015-04-13 |
| 1518238088 | Henry Burrell Kirby | Internal Medicine | 7220 Kirby Dr, Houston, TX 77030-3514 | 2012-01-15 |
| 1770756173 | Natasha Nicole Harrison | Internal Medicine | 3838 N Braeswood Blvd Apt 208, Houston, TX 77025-3014 | 2008-04-07 |
| 1609080373 | Nasiya N Ahmed | Internal Medicine | 9090 Gaylord Dr # 200, Houston, TX 77024-2966 | 2007-05-10 |
| 1821200296 | Jung-hoon Kim | Internal Medicine | 6613 S Braeswood Blvd, Houston, TX 77096-3611 | 2007-05-05 |
| 1356465231 | Anita Bagri Major | Internal Medicine | 9250 Kirby Dr Ste 1500, Houston, TX 77054-2500 | 2007-03-18 |
| 1902962566 | James Mathison Skelton Jr. | Internal Medicine | 6023 Riverview Way, Houston, TX 77057-1435 | 2006-12-28 |
| 1528173580 | Kathryn S Agarwal | Internal Medicine | 3601 N. Macgregor Way, Rm Ad-105, Medicine-geriatrics, Bcm 285, Quentin Mease, Houston, TX 77004 | 2006-08-20 |
| 1447297783 | Alice Amah Ajim | Internal Medicine | 10900 Gulf Fwy Ste B102, Houston, TX 77034-2581 | 2006-06-02 |
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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.