ST JUDE MEDICAL CONSULTANTS PLLC (NPI# 1982264339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982264339 |
Entity Type | Organization |
Organization Name | ST JUDE MEDICAL CONSULTANTS PLLC |
Practice Address |
10857 Kuykendahl Rd Ste 120b The Woodlands TX 77382-2935 |
Mailing Address |
Po Box 250907 Plano TX 75025-0907 |
Practice Telephone | 7734549222 |
Mailing Telephone | 3462720025 |
Mailing Fax Number | 9724326692 |
Enumeration Date | 2019-06-18 |
Last Update Date | 2020-08-12 |
Authorized Official Name | JESSEN J MUKALEL (SOLE MEMBER) |
Authorized Official Telephone | 7734549222 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
10857 KUYKENDAHL RD STE 120B |
City | THE WOODLANDS |
State | TX |
Zip Code | 77382-2935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316461304 | Cns Neueospinemonitoring Pllc | Psychiatry & Neurology | 26 E. Loftwood Cir, The Woodlands, TX 77382 | 2017-08-01 |
1538510581 | Michael Guzman | Dentist | 8000 Mcbeth Way Ste 145, The Woodlands, TX 77382 | 2016-06-30 |
1235486721 | Priority Emergency Physicians- The Woodlands Pllc | Emergency Medicine | 3759 Fm 1488, The Woodlands, TX 77382 | 2012-08-14 |
1386907616 | Priority Emergency Room-the Woodlands,llc | Emergency Medicine | 3759 Fm 1488 Suite 500, The Woodlands, TX 77382 | 2012-06-21 |
1801177597 | Adrienne Archidiacono | Dentist | 6702 Sterling Ridge Dr, The Woodlands, TX 77382 | 2011-09-08 |
1881989788 | Kristi A Sikes | Psychiatry & Neurology | 6707 Sterling Ridge Drive, Suite C, The Woodlands, TX 77382 | 2011-06-20 |
1053548891 | Amit B Mori | Internal Medicine | 6900 Lake Woodlands Dr Apt 511, The Woodlands, TX 77382 | 2009-06-19 |
1467601930 | Marina Kamyshin | Physician Assistant | 8000 Research Forest Dr Ste 360, The Woodlands, TX 77382 | 2008-09-09 |
1841467974 | Steven Dominic Wright | Specialist/Technologist, Other | 6767 Lakewoodlands Dr, Spring, TX 77382 | 2008-05-08 |
1902096829 | Annette L. Franques | Speech-Language Pathologist | 17200 St. Lukes Way, The Woodlands, TX 77382 | 2007-07-26 |
Find all providers in zip 77382 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710586011 | Spine & Rehab Affiliates Pllc | Pain Medicine | 3101 College Park Dr, The Woodlands, TX 77384-4099 | 2020-10-19 |
1003276577 | I45 Medical Center LLC | Pain Medicine | 17350 St Lukes Way, Suite 370, The Woodlands, TX 77384-4100 | 2016-02-26 |
1215273180 | Tag Healthcare Management, Pa | Pain Medicine | 10507 E Wildwind Cir, The Woodlands, TX 77380-4043 | 2012-12-21 |
1659563047 | Brian Mendoza Bruel | Pain Medicine | 9001 Forest Xing Ste D, The Woodlands, TX 77381-1132 | 2007-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
Find all providers with the same taxonomy |
City | THE WOODLANDS |
Zip Code | 77382 |
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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.