Ethan A Taub (NPI# 1295002285, PAC ID# 5597905455) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1295002285 |
| PAC ID by PECOS | 5597905455 |
| Professional Enrollment ID | I20130717000545 |
| Full Name | Ethan A Taub |
| Organization Legal Name | UT PHYSICIANS - TRAUMA SERVICES |
| Address |
6411 Fannin St Houston TX 77030-1501 |
| Phone Number | 8323257125 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7618150491 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450068 | MEMORIAL HERMANN - TEXAS MEDICAL CENTER |
| 450076 | THE UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER |
| 450465 | MATAGORDA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1515 Holcombe Blvd, Houston, TX 77030-4000 | 7137922121 | PHYSICIANS REFERRAL SERVICE |
| 1515 Holcombe Blvd Clinical Lab, Suite 73, Houston, TX 77030-4000 | 7137926313 | PHYSICIANS REFERRAL SERVICE |
| 1515 Holcombe Blvd Dept of Pathol, Houston, TX 77030-4000 | 7137926127 | PHYSICIANS REFERRAL SERVICE |
| 1515 Holcombe Blvd Hemopathology, Suite 72, Houston, TX 77030-4000 | 7137945446 | PHYSICIANS REFERRAL SERVICE |
| 6410 Fannin St, Suite 1400, Houston, TX 77030-5389 | 8323257125 | UT PHYSICIANS - TRAUMA SERVICES |
| 6411 Fannin St, Houston, TX 77030-1501 | 8323257125 | UT PHYSICIANS - TRAUMA SERVICES |
| 6655 Travis St, Suite 650, Houston, TX 77030-1316 | 7135632772 | PHYSICIANS REFERRAL SERVICE |
| Organization Legal Name | UT PHYSICIANS - TRAUMA SERVICES |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua D Person | General Surgery | Ut Physicians - Trauma Services | 5656 Kelley St, Houston, TX 77026-1967 |
| Arbelia Roman | Physician Assistant | Ut Physicians - Trauma Services | 6411 Fannin St, Houston, TX 77030-1501 |
| Michelle K Mcnutt | Critical Care (intensivists) | Ut Physicians - Trauma Services | 6411 Fannin St, Houston, TX 77030-1501 |
| Bryan A Cotton | Critical Care (intensivists) | Ut Physicians - Trauma Services | 6411 Fannin St, Houston, TX 77030-1501 |
| Laura J Moore | Critical Care (intensivists) | Ut Physicians - Trauma Services | 5656 Kelley St, Houston, TX 77026-1967 |
| David H Kim | Critical Care (intensivists) | Ut Physicians - Trauma Services | 5656 Kelley St, Houston, TX 77026-1967 |
| John Andrew Harvin | General Surgery | Ut Physicians - Trauma Services | 5656 Kelley St, Houston, TX 77026-1967 |
| Todd F Huzar | Critical Care (intensivists) | Ut Physicians - Trauma Services | 6411 Fannin St, Houston, TX 77030-1501 |
| Sheeba T Simon | Nurse Practitioner | Ut Physicians - Trauma Services | 6411 Fannin St, Houston, TX 77030-1501 |
| Connie K Hudson | Physician Assistant | Ut Physicians - Trauma Services | 6411 Fannin St, Houston, TX 77030-1501 |
| Street Address |
6411 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip | 77030-1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan V Mathew | Internal Medicine | Ut Physicians | 6411 Fannin St, Houston, TX 77030-1501 |
| Richard J Hausner | Pathology | The University of Texas Health Science Center At Houston | 6411 Fannin St, Houston, TX 77030-1501 |
| Rana O Afifi | Vascular Surgery | Ut Physicians | 6411 Fannin St, Houston, TX 77030-1501 |
| Alyce Michelle Richard | Anesthesiology | Ut Physicians | 6411 Fannin St, Houston, TX 77030-1501 |
| Olasunkanmi W Adeyinka | Hospitalist | Ut Physicians Specialty Services | 6411 Fannin St, Houston, TX 77030-1501 |
| Amber U Luong | Otolaryngology | Ut Physicians | 6411 Fannin St, Houston, TX 77030-1501 |
| Jeana S Kelly | Physician Assistant | Ut Physicians | 6411 Fannin St, Houston, TX 77030-1501 |
| Faith D Atai | Geriatric Medicine | Ut Physicians Specialty Services | 6411 Fannin St, Houston, TX 77030-1501 |
| Joseph G Shafer | Anesthesiology Assistant | Ut Physicians | 6411 Fannin St, Houston, TX 77030-1501 |
| Ryan Blair Kieser | Internal Medicine | Ut Physicians | 6411 Fannin St, Houston, TX 77030-1501 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David T Netscher | Hand Surgery | 6624 Fannin, Suite 2730, Houston, TX 77030 | |
| Petros E Carvounis | Ophthalmology | 6655 Travis St, Suite 560, Houston, TX 77030-1312 | |
| Karen L Mackenney | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| January Y Tsai | Anesthesiology | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Megan J Tanner | Nurse Practitioner | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Erica V Jimenez | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Nina R Patel | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Tarin A Doubt | Physician Assistant | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Sheldon Chen | Nephrology | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Vickie R Shannon | Pulmonary Disease | Physicians Referral Service | 6655 Travis St, Suite 650, Houston, TX 77030-1316 |
| Find all physicians in zip 77030 | |||
| City | HOUSTON |
| Zip Code | 77030 |
| Specialty | GENERAL SURGERY |
| City + Specialty | HOUSTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ethan A Taub.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.