UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON (NPI# 1821054883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821054883 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Other Organization Name | UNIVERSITY OF TEXAS MEDICAL BRANCH |
| Practice Address |
301 University Blvd University Hospital Clinics, Room 4.234 Galveston TX 77555-1388 |
| Mailing Address |
301 University Blvd Galveston TX 77555-0115 |
| Practice Telephone | 4097476520 |
| Practice Fax Number | 4097470164 |
| Mailing Telephone | 4097478783 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | DR. BENNY G RAIMER (INTERIM PRESIDENT) |
| Authorized Official Telephone | 4097721902 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 085973802 | 05 |
| Other Name | Type Code |
|---|---|
| University of Texas Medical Branch | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124401716 | University of Texas Medical Branch At Galveston | Technician/Technologist | 10121 Emmett Lowry Expressway, Texas City, TX 77591 | 2015-07-01 |
| 1629465950 | University of Texas Medical Branch At Galveston | Point of Service | 11437 Outpost Cove, Willis, TX 77318-5485 | 2015-04-24 |
| 1770525305 | University of Texas Medical Branch At Galveston | Pharmacy | 2400 Avenue I, Huntsville, TX 77340-5830 | 2006-06-11 |
| 1831710086 | University of Texas Medical Branch At Galveston | Durable Medical Equipment & Medical Supplies | 250 Blossom St, Ste 105, Webster, TX 77598 | 2020-04-29 |
| 1386026367 | University of Texas Medical Branch At Galveston | Pharmacy | 2240 Gulf Fwy S, Pharmacy Room 2.203, League City, TX 77573-5143 | 2015-06-25 |
| 1609039874 | University of Texas Medical Branch At Galveston | General Acute Care Hospital | 700 University Blvd, Utmb Dept of Ophthalmology, Galveston, TX 77550-5552 | 2008-07-08 |
| 1306802384 | University of Texas Medical Branch At Galveston | Pharmacy | 301 University Blvd, Csw 7th Floor, Galveston, TX 77555-0401 | 2006-04-26 |
| 1548226988 | University of Texas Medical Branch At Galveston | Clinic/Center | 301 University Blvd, Galveston, TX 77555-5302 | 2006-04-25 |
| 1073592739 | University of Texas Medical Branch At Galveston | Medical Genetics, Ph.D. Medical Genetics | 301 University Blvd, Galveston, TX 77555-5683 | 2006-01-11 |
| Street Address |
301 UNIVERSITY BLVD UNIVERSITY HOSPITAL CLINICS, ROOM 4.234 |
| City | GALVESTON |
| State | TX |
| Zip Code | 77555-1388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742714 | Bagi Rp Jana | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0565 | 2005-06-30 |
| 1023617685 | Kimberly Joy Staton | Nurse Practitioner | 301 University Blvd, Galveston, TX 77555-5303 | 2020-10-23 |
| 1295333185 | Adelina Mun See Leong | Physician Assistant | 301 University Blvd, Galveston, TX 77555-3205 | 2020-10-13 |
| 1245838341 | Zachary Allen Helmick | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-10-12 |
| 1477150795 | Mason Juehon Yu | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-10-09 |
| 1336746866 | Hillary Mai | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-10-07 |
| 1699380139 | Sanjai Naicheril Sabu | Physician Assistant | 301 University Blvd, Galveston, TX 77555-5302 | 2020-09-11 |
| 1497369409 | Olusola Sogbein | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0562 | 2020-09-08 |
| 1801409636 | Anand Kumar | Internal Medicine | 301 University Blvd, Galveston, TX 77555-0100 | 2020-08-31 |
| 1235748633 | Youlanda Martin-jones | Family Medicine | 301 University Blvd, Galveston, TX 77555-5302 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1700362670 | Nidal Alhosainat | Internal Medicine | 301 University Blvd, 4.200 John Sealy Annex, Galveston, TX 77555 | 2018-07-13 |
| 1275915282 | Murtaza Mazhar | Internal Medicine | 301 University Blvd Cardiovascular Disease, Galveston, TX 77555 | 2015-06-25 |
| 1124469531 | Nisarg Shaileshbhai Shah | Internal Medicine | 400 Harborside Dr Suite #100, Endocrinology, Galveston, TX 77555 | 2013-07-13 |
| 1912260860 | Mohammed Fathi Zaidan | Internal Medicine | University of Texas Medical, 301 University Boulevard, Galveston, TX 77555 | 2012-06-15 |
| 1639465925 | Justin Blinn | Anesthesiology | 301 University Blvd # 2-a, Galveston, TX 77555 | 2011-06-24 |
| 1255532982 | Miguel Mauricio Cabada Samame | Internal Medicine | 301 University Boulevard Rt 0435, Galveston, TX 77555 | 2007-05-30 |
| 1154945608 | Elliot Blankespoor | Anesthesiology | 301 University Boulevard, 5.504 Jennie Sealy Hospital, Galveston, TX 77555 | 2020-06-01 |
| 1932699972 | Sara Medsker | Pediatrics | 301 University Blvd., Galveston, TX 77555 | 2018-05-15 |
| 1134297666 | Donna B Weaver | Family Medicine | 400 Harborside Dr, Galveston, TX 77555 | 2006-12-01 |
| Find all providers in zip 77555 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497718340 | Dva Renal Healthcare Inc | Clinic/Center | 5920 Broadway St, Galveston, TX 77551-4305 | 2006-04-11 |
| 1760902324 | Bio-medical Applications of Texas Inc | Clinic/Center | 6011 Broadway St, Galveston, TX 77551-4308 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801931 | Usrc Mckinney, LLC | Clinic/Center | 1434 N Central Expy Ste 116, Mckinney, TX 75070-3108 | 2020-11-05 |
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
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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.