MICHAEL KHADEM (NPI# 1992192090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992192090 |
| Entity Type | Individual |
| Full Name | MICHAEL KHADEM |
| Practice Address |
5550 Rittiman Rd San Antonio TX 78218-4703 |
| Practice Telephone | 2102275466 |
| Practice Fax Number | 2105991152 |
| Mailing Telephone | 2102275466 |
| Mailing Fax Number | 2105991152 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343800000X | Secured Medical Transport (VAN) | 343800000X | TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 343800000X | 05 |
| Street Address |
5550 RITTIMAN RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78218-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901516 | Kenny Garza | Counselor | 5000 Walzem Rd, San Antonio, TX 78218 | 2020-08-06 |
| 1922507425 | Vanessa C Smith | Specialist/Technologist | 5110 Walzem Rd, Windcrest, TX 78218 | 2018-02-09 |
| 1245696616 | Timothy Myers | Pharmacist | 6520 Pratt Rd, San Antonio, TX 78218 | 2016-01-14 |
| 1063809622 | Stateserv Medical of San Antonio | Durable Medical Equipment & Medical Supplies | 4338 Tejasco Drive, San Antonio, TX 78218 | 2015-04-22 |
| 1053720821 | Riham Elfiky | Secured Medical Transport (VAN) | 2122 Austin Hwy, San Antonio, TX 78218 | 2014-08-06 |
| 1659785129 | Gwendolyn Bolden | Rehabilitation Practitioner | 4615 Walzem Road, 207, San Antonio, TX 78218 | 2014-06-12 |
| 1659798833 | Carlos Reynaldo Guerrero | Physician Assistant | 3453 N Pan Am Expy, San Antonio, TX 78218 | 2014-03-25 |
| 1073936050 | Wal-mart Stores Texas Lp | Technician/Technologist | 5626 Walzem Road, San Antonio, TX 78218 | 2014-01-28 |
| 1225370968 | Wendy M Voisin | Pharmacist | 6520 Fratt Rd., San Antonio, TX 78218 | 2013-03-20 |
| 1376817999 | Peter Joseph Ness | Ophthalmology | 8239 Campobello Dr, San Antonio, TX 78218 | 2012-02-29 |
| Find all providers in zip 78218 | ||||
| Taxonomy Code | 343800000X |
| Grouping | Transportation Services |
| Classification | Secured Medical Transport (VAN) |
| A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871156240 | Wioos, LLC | Secured Medical Transport (VAN) | 8026 Vantage Dr Ste 108, San Antonio, TX 78230-4730 | 2019-04-20 |
| 1891214441 | Elegant Logistics | Secured Medical Transport (VAN) | 9650 Datapoint Dr Ste 105, San Antonio, TX 78229-2060 | 2017-09-14 |
| 1053720821 | Riham Elfiky | Secured Medical Transport (VAN) | 2122 Austin Hwy, San Antonio, TX 78218 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699246 | Anthony Igiehon | Secured Medical Transport (VAN) | 2005 Putman Way, Garland, TX 75040-3944 | 2020-01-31 |
| 1922657493 | Mah Transportation LLC | Secured Medical Transport (VAN) | 3114 Summerfield Ridge Ct, Sugar Land, TX 77498-4884 | 2019-09-08 |
| 1235798828 | Safe & Secure Transportation | Secured Medical Transport (VAN) | 2813 Coral Dr, Lancaster, TX 75146-1044 | 2019-06-07 |
| 1316502990 | Allied Vision | Secured Medical Transport (VAN) | 9214 Floral Crest Dr, Houston, TX 77083-6225 | 2019-05-08 |
| 1922663871 | Fast Premier Transport LLC | Secured Medical Transport (VAN) | 811 Town and Country Blvd., Suite 141, Houston, TX 77024 | 2019-05-07 |
| 1598328551 | Close 2 Homes LLC | Secured Medical Transport (VAN) | 8204 Elmbrook Dr Ste 220, Dallas, TX 75247-4060 | 2019-04-16 |
| 1831652999 | Olusegun D Idowu | Secured Medical Transport (VAN) | 7206 Divanna Ct, Arlington, TX 76002-4011 | 2019-04-07 |
| 1871054882 | Elizabeth Brown | Secured Medical Transport (VAN) | 4010 Leeshire Dr, Houston, TX 77025-4020 | 2019-03-31 |
| 1851884217 | Craig Dewayne White Sr. | Secured Medical Transport (VAN) | 10322 Sierra Dr, Houston, TX 77051-4218 | 2018-06-11 |
| 1295234235 | James Aluka | Secured Medical Transport (VAN) | 12304 Hillcroft St Ste B, Houston, TX 77035-5376 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78218 |
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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.