PREVENTIVE MEDICINE INSTITUTE PA (NPI# 1831396639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831396639 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE MEDICINE INSTITUTE PA |
| Practice Address |
16651 Southwest Fwy Suite 300 Sugar Land TX 77479-2345 |
| Mailing Address |
16651 Southwest Fwy Ste 300 Sugar Land TX 77479-2348 |
| Practice Telephone | 2812779898 |
| Mailing Telephone | 2812779898 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | DR. MAYA R PATEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2812779898 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
K7197 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0021EP | 01 |
| Street Address |
16651 SOUTHWEST FWY SUITE 300 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633099 | David G Galvan | Obstetrics & Gynecology | 16651 Southwest Fwy, Suite 200, Sugar Land, TX 77479-2345 | 2005-07-14 |
| 1174877492 | Sugarland Neo Peds Care Pllc | Clinic/Center | 16651 Southwest Fwy, Suite 150, Sugar Land, TX 77479-2345 | 2012-11-08 |
| 1740533017 | Utsavi Shah | Obstetrics & Gynecology | 16651 Southwest Fwy, Suite 200, Sugar Land, TX 77479-2345 | 2012-10-23 |
| 1407117138 | John Boon Md Urology | Urology | 16651 Southwest Fwy, Suite 310, Sugar Land, TX 77479-2345 | 2012-05-29 |
| 1124352976 | Madison Hisey | Physician Assistant | 16651 Southwest Fwy, Suite 360, Sugar Land, TX 77479-2345 | 2009-09-28 |
| 1497994149 | Nwanyieze Amajoh | Obstetrics & Gynecology | 16651 Southwest Fwy, Suite 200, Sugar Land, TX 77479-2345 | 2009-02-19 |
| 1013154384 | John Reynolds Boon | Urology | 16651 Southwest Fwy, Mob 1 Suite 310, Sugar Land, TX 77479-2345 | 2009-01-08 |
| 1770728826 | Houston Diagnostic Cath Lab Lp | Specialist | 16651 Southwest Fwy, Suite 250, Sugar Land, TX 77479-2345 | 2008-12-03 |
| 1023200623 | Diana M. Guerra | Anesthesiology | 16651 Southwest Fwy, Suite 450, Sugar Land, TX 77479-2345 | 2007-08-16 |
| 1487787073 | Cardiac Cath Lab of Sugarland Lp | Clinic/Center | 16651 Southwest Fwy, Suite 250, Sugar Land, TX 77479-2345 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1720413644 | Pronto Care Medical Associates PC | Internal Medicine | 6801 Mccart Ave Ste A1, Ft Worth, TX 76133-6368 | 2013-09-10 |
| 1871803411 | Matt E. Hipke, M.d. Pllc | Internal Medicine | 911 Walnut Hill Dr., Longview, TX 75605-5054 | 2010-10-18 |
| 1053598771 | Gabriel Perez | Internal Medicine | 9793 Culebra Rd Ste 105, San Antonio, TX 78251-3750 | 2008-01-24 |
| 1457488231 | Premier Care Physician | Internal Medicine | 820 E Cartwright Rd Ste 100, Mesquite, TX 75149-6063 | 2007-02-27 |
| 1710931530 | Harish Kumar Dhingra | Internal Medicine | 1200 Circle Ln, Bedford, TX 76022-7436 | 2006-05-19 |
| 1558329979 | Shahab Ahmad | Internal Medicine | 2100 N.collins Blvd, Suite 315, Richardson, TX 75080 | 2006-05-03 |
| 1699730309 | Dominic Sreshta, Md.,pa . | Internal Medicine | 7737 Southwest Freeway # 800, Houston, TX 77074 | 2006-04-18 |
| 1700888526 | Fitzgerald Metcalfe Thomas | Internal Medicine | 7771 State Hwy 153, Winters, TX 79567 | 2005-08-11 |
| 1275985129 | Saumil Mehta Md Pllc | Internal Medicine | 6404 International Pkwy, Suite #2100, Plano, TX 75093-8225 | 2016-07-04 |
| 1811371388 | Vivify Wellness Center | Internal Medicine | 500 S Westgate Way, Suite #300, Wylie, TX 75098-5308 | 2015-07-15 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
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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.