PHILIP A MATORIN MD PA (NPI# 1902837412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902837412 |
| Entity Type | Organization |
| Organization Name | PHILIP A MATORIN MD PA |
| Practice Address |
12121 Richmond Ave Suite #304 Houston TX 77082-2432 |
| Mailing Address |
12121 Richmond Ave Suite #304 Houston TX 77082-2437 |
| Practice Telephone | 2819205558 |
| Practice Fax Number | 2819205568 |
| Mailing Telephone | 2819205558 |
| Mailing Fax Number | 2819205568 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | DR. PHILIP A MATORIN (PRESIDENT) |
| Authorized Official Telephone | 2819205558 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | J0103 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 183307101 | 05 | |
| BLUE CROSS GROUP ID | 0008NJ | 01 | |
| TX | AETNA | 1208665 | 01 |
| Street Address |
12121 RICHMOND AVE SUITE #304 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77082-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566501 | Bao Quoc H La | Obstetrics & Gynecology | 12121 Richmond Ave, Ste 315, Houston, TX 77082-2437 | 2005-05-23 |
| 1831756105 | Colby Berger | Podiatrist | 12121 Richmond Ave, Houston, TX 77082-2432 | 2019-05-22 |
| 1730646951 | Marzyeh Izadnia | Nurse Practitioner | 12121 Richmond Ave, Houston, TX 77082-2432 | 2019-02-24 |
| 1295267144 | Bobby George | Physician Assistant | 12121 Richmond Ave, St. 307, Houston, TX 77082-2432 | 2017-03-30 |
| 1548710221 | Sunshine Dentistry | Dentist | 12121 Richmond Ave, Ste 426, Houston, TX 77082-2432 | 2016-10-06 |
| 1588010359 | Zachary Zan Stanfield | Podiatrist | 12121 Richmond Ave, Houston, TX 77082-2432 | 2016-05-10 |
| 1467846758 | Mary Rose Agustin | Nurse Practitioner | 12121 Richmond Ave, Houston, TX 77082-2432 | 2015-03-24 |
| 1104216852 | Fatima E Jaffer Md Pa | Internal Medicine | 12121 Richmond Ave, Suite 420, Houston, TX 77082-2432 | 2015-02-03 |
| 1124436712 | Elizabeth Bailey, Md, Pa | Obstetrics & Gynecology | 12121 Richmond Ave, Suite 416, Houston, TX 77082-2432 | 2014-07-27 |
| 1427479492 | Lei Chu Urology Pllc | Urology | 12121 Richmond Ave, Suite 221, Houston, TX 77082-2432 | 2013-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1083247571 | Long Tran | Pharmacist | 15842 Clayton Bend Dr, Houston, TX 77082 | 2020-02-13 |
| 1023599412 | Lori Friedman | Physical Therapy Assistant | 3625 Green Crest, Houston, TX 77082 | 2018-08-24 |
| 1548768187 | Ashford Pharmacy Inc. | Pharmacy | 3751 S Dairy Ashford Rd # 102, Houston, TX 77082 | 2018-01-29 |
| 1033625850 | Sarita E Smalley | Chiropractor | 11301 Richmond Ave., Suite K103, Houston, TX 77082 | 2017-12-15 |
| 1366972002 | Tangela Rene Woodland-ballard | Nurse Practitioner | 3751 S. Dairy Ashford Road, Houston, TX 77082 | 2017-06-15 |
| 1730623273 | Global Retel Investments Inc | Home Health | 4018 Green Crest Drive, 4018 Green Crest Drive, Houston, TX 77082 | 2016-12-16 |
| 1538532239 | Ramsome Medical Transportation | Secured Medical Transport (VAN) | 2703 Highway 6, 195, Houston, TX 77082 | 2015-11-04 |
| 1598141962 | Havilla Medical Transportation Services | Non-emergency Medical Transport (VAN) | 13433 Garden Grove, Houston, TX 77082 | 2015-08-07 |
| 1376895565 | Humera Yazdani | Dentist | 2703 South Hwy 6, Suite 147, Houston, TX 77082 | 2012-10-11 |
| Find all providers in zip 77082 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
| 1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
| 1730568502 | Marcus Hershey | Otolaryngology | 4101 Greenbriar Dr Ste 320, Houston, TX 77098-5296 | 2015-05-26 |
| 1124431994 | Viran Jay Ranasinghe | Otolaryngology | 20207 Chasewood Park Dr Ste 100, Houston, TX 77070-1441 | 2014-06-09 |
| 1043635816 | Eduardo Manuel Diaz | Otolaryngology | 9870 Gaylord Dr Apt 1112, Houston, TX 77024-2672 | 2014-03-03 |
| 1073956074 | Jennifer Dang | Otolaryngology | 6550 Fannin St Ste 1727, Houston, TX 77030-2717 | 2013-04-10 |
| 1295094548 | Daniel Peter Fox | Otolaryngology | 18400 Katy Fwy Ste 470, Houston, TX 77094-1287 | 2012-05-07 |
| 1922373653 | Robert Nicholas Berezoski | Otolaryngology | 7123 Heron Dr, Houston, TX 77087-6723 | 2012-03-13 |
| 1659690493 | Bruce Edison | Otolaryngology | 12010 Cobblestone Dr, Houston, TX 77024-5054 | 2010-05-19 |
| 1033344387 | Kunal Sudhir Jain | Otolaryngology | 6400 Fannin St Ste 2700, Houston, TX 77030-1539 | 2009-05-15 |
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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.