CEDAR BAYOU MEDICAL CLINIC, LLC (NPI# 1992027544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992027544 |
Entity Type | Organization |
Organization Name | CEDAR BAYOU MEDICAL CLINIC, LLC |
Practice Address |
2001 Cedar Bayou Rd Baytown TX 77520-3724 |
Mailing Address |
750 Old Hickory Blvd Suite 2-100 Brentwood TN 37027-4528 |
Practice Telephone | 2814206900 |
Enumeration Date | 2010-02-24 |
Last Update Date | 2010-02-24 |
Authorized Official Name | WILLIAM B ROUSE (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6153766200 |
Is Organization Subpart | Y |
Parent Organization Name | CONTINUUM CLINICAL SERVICES, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Street Address |
2001 CEDAR BAYOU RD |
City | BAYTOWN |
State | TX |
Zip Code | 77520-3724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578884839 | Sarah Whitlock | Counselor | 2001 Cedar Bayou Rd, Baytown, TX 77520-3724 | 2010-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841824828 | Stacy Duhe Jefferson | Counselor | 1009 Polly Ave., Baytown, TX 77520 | 2020-02-27 |
1194383745 | Keith A. Coburn | Dentist | 1224 Kilgore Rd., Baytown, TX 77520 | 2019-05-30 |
1427530856 | Domenique Roszette Gee | Specialist/Technologist | 2500 Market Street, Baytown, TX 77520 | 2018-09-01 |
1558793323 | Sasan Yadollahibastani | Dentist | 1105 E. James Ave., Baytown, TX 77520 | 2013-08-05 |
1346581931 | Trudy B Istre | Nurse Practitioner | 2610 N. Alexander Dr. Suite 201, Baytown, TX 77520 | 2013-03-07 |
1871816272 | Hyacynthia Mary Leonce-james | Counselor | 1610 James Bowie, Suite B108, Baytown, TX 77520 | 2010-03-12 |
1457507444 | Harbor Hospice of Baytown, Lp | Hospice Care, Community Based | 1610 James Bowie Dr., Suite D-111, Baytown, TX 77520 | 2008-08-11 |
1790982551 | Gregory Thomas Laliberte | Counselor | 401 West Texas Avenue, Cease Addiction Office, Baytown, TX 77520 | 2007-06-27 |
1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
1003943655 | Steven S Coggins Md | Anesthesiology | 9042 Northpoint Dr, Baytown, TX 77520 | 2007-02-28 |
Find all providers in zip 77520 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134583958 | Pooja Kulkarni | Family Medicine | 1677a West Baker Road, Suite 2701, Baytown, TX 77521 | 2016-04-07 |
1942698139 | Progressive Multi-specialty Group, Pllc | Family Medicine | 1113 West Baker Road Suite F, Baytown, TX 77521-2391 | 2014-12-23 |
1902218621 | Letty Rocha Emery | Family Medicine | 4401 Garth Rd., Medical Education Office, Baytown, TX 77521 | 2014-05-29 |
1821424086 | Jamesj Bernick Md. Pa. | Family Medicine | 2717 W Baker Rd Ste 2, Baytown, TX 77521-2220 | 2013-09-19 |
1366885576 | Eleazar Flores | Family Medicine | 8608 N Highway 146 Ste 60, Baytown, TX 77523 | 2013-04-08 |
1457657090 | Ganesh P Gupta Mdpa | Family Medicine | 1610 James Bowie Dr Ste A114, Baytown, TX 77520-3383 | 2011-01-30 |
1366753485 | Chinh Q. Nguyen, Md Pa | Family Medicine | 1010 W Baker Rd Ste 102, Baytown, TX 77521-2383 | 2010-06-23 |
1407087323 | Atilio Abreu Serrano | Family Medicine | 1600 James Bowie Dr Ste C104, Baytown, TX 77520-3356 | 2009-07-28 |
1811122773 | Angela Marie Guerra | Family Medicine | 6300 Garth Rd Ste 200, Baytown, TX 77521-7669 | 2009-05-21 |
1225288293 | Madhumita Banga | Family Medicine | 4301 Garth Rd Ste 400, Baytown, TX 77521-3159 | 2008-09-25 |
Find all providers in BAYTOWN |
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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.