Dr Jared P Caruso, MD | |
17500 West Grand Parkway South, Memorial Hermann Sugar Land, Sugarl Land, TX 77479 | |
(281) 725-5202 | |
(281) 725-5678 |
Full Name | Dr Jared P Caruso |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 17500 West Grand Parkway South, Sugarl Land, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063597144 | NPI | - | NPPES |
4040384 | Medicaid | MD | |
0022560 | Medicaid | NJ | |
100846982 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | K7258 (Texas) | Primary |
208000000X | Pediatrics | MD423056 (Pennsylvania) | Secondary |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Entity Name | Acs Primary Care Physicians Southwest Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
Entity Name | Barrier Reef Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275761512 PECOS PAC ID: 4789738360 Enrollment ID: O20090817000309 |
Entity Name | Scurry Emergency Medicine Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801342829 PECOS PAC ID: 3476891292 Enrollment ID: O20190220001845 |
Entity Name | Memorial Hermann Hospital Based Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295363497 PECOS PAC ID: 4385075480 Enrollment ID: O20200505001521 |
Mailing Address | Practice Location Address |
---|---|
Dr Jared P Caruso, MD 6431 Fannin Street, Jjl 434, Uthealth, Houston, TX 77030 Ph: (713) 500-7863 | Dr Jared P Caruso, MD 17500 West Grand Parkway South, Memorial Hermann Sugar Land, Sugarl Land, TX 77479 Ph: (281) 725-5202 |