| Gulf Coast Professional Association | |
|
5500 Guhn Rd Houston TX 77040-6161 | |
| (713) 783-8889 | |
| (713) 953-0471 |
| Full Name | Gulf Coast Professional Association |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5500 Guhn Rd, Houston, Texas |
| Authorized Official Name and Position | Jason Dennis Baron (CEO) |
| Authorized Official Contact | 7137838889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Professional Association 5500 Guhn Rd Houston TX 77040-6161 Ph: (713) 783-8889 | Gulf Coast Professional Association 5500 Guhn Rd Houston TX 77040-6161 Ph: (713) 783-8889 |
| NPI Number | 1144275140 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 5597750885 |
|---|---|
| Medicare Enrollment ID | O20040416000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144275140 | NPI | - | NPPES |
| 10000392 | Other | TX | AMERIGROUP |
| 155659902 | Medicaid | TX | |
| 745240 | Other | TX | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Jason D Baron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104865260 PECOS PAC ID: 0941295257 Enrollment ID: I20100804000627 |
| Provider Name | Rusti T Hauge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639124092 PECOS PAC ID: 4981737475 Enrollment ID: I20100804000819 |
| Provider Name | Susan B Parkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265864714 PECOS PAC ID: 1951536663 Enrollment ID: I20151014000118 |
| Provider Name | Qingmin Ruan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548586308 PECOS PAC ID: 1456661842 Enrollment ID: I20151116001322 |
| Provider Name | George K Attobrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184168130 PECOS PAC ID: 0042581514 Enrollment ID: I20170801002737 |
| Provider Name | Allison J Mcdade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467863506 PECOS PAC ID: 2466719257 Enrollment ID: I20171204001328 |
| Provider Name | Samuel D Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831584069 PECOS PAC ID: 9931461134 Enrollment ID: I20180328002205 |
| Provider Name | Olaide Akinyinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932637097 PECOS PAC ID: 6103172986 Enrollment ID: I20180710000137 |
| Provider Name | Kambiz Jahanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902255102 PECOS PAC ID: 6709139355 Enrollment ID: I20181029000669 |
| Provider Name | Sandra Onwuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831745751 PECOS PAC ID: 6901236488 Enrollment ID: I20200423003365 |
| Provider Name | Stacen J Velvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285124743 PECOS PAC ID: 8729335120 Enrollment ID: I20200601000022 |
| Provider Name | Yolanda M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093365439 PECOS PAC ID: 8628491636 Enrollment ID: I20200709002150 |
| Provider Name | Ejemenare Respect Daudu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245905058 PECOS PAC ID: 7315335858 Enrollment ID: I20211102002108 |
| Provider Name | Bernadette C Etoama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730201187 PECOS PAC ID: 9032122155 Enrollment ID: I20220412001672 |
| Provider Name | Megan Alyssa Shaffner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689298069 PECOS PAC ID: 6406278886 Enrollment ID: I20220731000174 |
| Provider Name | Veronica Uchenna Umerah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649675562 PECOS PAC ID: 4385829746 Enrollment ID: I20230503000847 |
| Provider Name | Maria S Conteh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710741418 PECOS PAC ID: 0143660308 Enrollment ID: I20240504000433 |
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