OPTIMUM PHYSICIANS HEALTHCARE PLLC (NPI# 1972907897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972907897 |
| Entity Type | Organization |
| Organization Name | OPTIMUM PHYSICIANS HEALTHCARE PLLC |
| Other Organization Name | OPTIMUM PHYSICAL MEDICINE |
| Practice Address |
1819 Broadway St Ste 101 Pearland TX 77581-5671 |
| Practice Telephone | 2819932003 |
| Practice Fax Number | 2819930634 |
| Mailing Telephone | 2819932003 |
| Mailing Fax Number | 2819930634 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | JOHN ERIC MCINTYRE (PRESIDENT) |
| Authorized Official Telephone | 2819934109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | E3155 | TX | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
E3155 | TX | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA07605 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optimum Physical Medicine | Doing Business As Name - Organization |
| Street Address |
1819 BROADWAY ST STE 101 |
| City | PEARLAND |
| State | TX |
| Zip Code | 77581-5671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114287307 | Chirohealth Rehab | Chiropractor | 1819 Broadway St Ste 101, Pearland, TX 77581-5671 | 2012-05-21 |
| 1912406323 | Monique Kezia Warren | Nurse Practitioner | 1819 Broadway St Ste 101, Pearland, TX 77581-5671 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171973 | Teledentist365 Foundation | Public Health or Welfare | 2111 Limrick Drive, Pearland, TX 77581 | 2020-07-10 |
| 1558984757 | Oculus Interest Vii, LLC | Optometrist | 2470 Pearland Pkwy, Pearland, TX 77581 | 2020-05-21 |
| 1285267591 | Rachel Daniels | Speech-Language Pathologist | 2011 E. Broadway, Ste. 130, Pearland, TX 77581 | 2020-02-14 |
| 1164054615 | Chau Minh Pho | Pharmacist | 3245 Fm518, Pearland, TX 77581 | 2020-02-12 |
| 1902460611 | Areli Dominguez | Behavior Technician | 6516 Broadway Street, Suite 112, Perland, TX 77581 | 2019-04-29 |
| 1700356359 | Rebekah Buck | Physical Therapist | 2011 E. Broadway Ste 130, Pearland, TX 77581 | 2018-11-27 |
| 1639676737 | Kjj Vision Pllc | Optometrist | 1816 Broadway St Ste 106, Pearland, TX 77581 | 2018-04-06 |
| 1386155398 | Tekisha Murphy | Nurse Practitioner | 2812 Afton Drive, Pearland, TX 77581 | 2017-10-17 |
| 1588181457 | Emily Hamm | Occupational Therapist | 211 E. Broadway, Ste. 130, Pearland, TX 77581 | 2017-08-23 |
| 1013437938 | Kristin Aulds | Dentist | 2708 Pearland Parkway, Ste 220, Pearland, TX 77581 | 2017-06-21 |
| Find all providers in zip 77581 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730375551 | Jmax Clinic, Pa | Clinic/Center | 10970 Shadow Creek Pkwy Ste 250, Pearland, TX 77584-0121 | 2007-09-16 |
| 1104359710 | Apollo Men's Health | Clinic/Center | 2404 Smith Ranch Rd, Unit 300, Pearland, TX 77584-5233 | 2017-04-10 |
| 1457736563 | Silverlake Pediatric Clinc | Clinic/Center | 9721 Broadway St, Pearland, TX 77584-8169 | 2015-07-30 |
| 1194970756 | Pearland Diagnostic Clinic, Pa | Clinic/Center | 1834 Broadway St, Suite 102, Pearland, TX 77581-5668 | 2008-11-24 |
| 1902098924 | Anthony Augustine Dinovo | Clinic/Center | 3223 Broadway St, Pearland, TX 77581-4501 | 2007-08-14 |
| 1023041621 | Ungs Primary, P.a. | Clinic/Center | 10970 Shadow Creek Pkwy, Suite 250, Pearland, TX 77584 | 2006-07-08 |
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| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
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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.