Cs Pacs 3 Southwest, Llc | |
5800 W Baker Rd Baytown TX 77520-1618 | |
(281) 425-1200 | |
Not Available |
Full Name | Cs Pacs 3 Southwest, Llc |
---|---|
Speciality | Hospitalist |
Location | 5800 W Baker Rd, Baytown, Texas |
Authorized Official Name and Position | Sandra Bakerink (DIRECTOR, PROVIDER ENROLLMENT) |
Authorized Official Contact | 8655001325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cs Pacs 3 Southwest, Llc 1643 Nw 136th Avenue Building H, Suite 100 Sunrise FL 33323 Ph: (865) 500-1325 | Cs Pacs 3 Southwest, Llc 5800 W Baker Rd Baytown TX 77520-1618 Ph: (281) 425-1200 |
NPI Number | 1275398430 |
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Provider Enumeration Date | 02/16/2024 |
Last Update Date | 07/09/2024 |
Medicare PECOS PAC ID | 1254879620 |
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Medicare Enrollment ID | O20240815004236 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275398430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (Not Available)) | Primary |
Provider Name | Elaine S Traylor |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477565455 PECOS PAC ID: 7911802772 Enrollment ID: I20031204000554 |
Provider Name | Aneesha A Asher |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023017175 PECOS PAC ID: 7719879105 Enrollment ID: I20040903000209 |
Provider Name | Ana Maria Tattersall-cocke |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1699727214 PECOS PAC ID: 4284682477 Enrollment ID: I20050104000957 |
Provider Name | Omar A Zantua |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1083675359 PECOS PAC ID: 8820047459 Enrollment ID: I20050120000567 |
Provider Name | Leroy K Kim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639131519 PECOS PAC ID: 2264482066 Enrollment ID: I20050129000046 |
Provider Name | Caroline N Mbogua |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942221148 PECOS PAC ID: 0840240453 Enrollment ID: I20050131000765 |
Provider Name | Jeffrey Robert Eitel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558313163 PECOS PAC ID: 0941231526 Enrollment ID: I20050823000946 |
Provider Name | Beverly S Gutierrez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023057528 PECOS PAC ID: 1153352414 Enrollment ID: I20050825001024 |
Provider Name | Vijaya Kavikondala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437129236 PECOS PAC ID: 4183649254 Enrollment ID: I20051007000336 |
Provider Name | Joyce M Thompson |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1306861448 PECOS PAC ID: 9234220807 Enrollment ID: I20070810000582 |
Provider Name | Patricia Z Mbola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962693523 PECOS PAC ID: 1254429731 Enrollment ID: I20071116000284 |
Provider Name | Sara Washa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427093582 PECOS PAC ID: 1052486511 Enrollment ID: I20080818000517 |
Provider Name | Andrew J Rolniak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871543363 PECOS PAC ID: 2163558172 Enrollment ID: I20100330000184 |
Provider Name | Gregory John Patton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699778043 PECOS PAC ID: 7012188097 Enrollment ID: I20110923000025 |
Provider Name | U Kanti Murtineni |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689994840 PECOS PAC ID: 6103098801 Enrollment ID: I20110930000146 |
Provider Name | Latha Jacob |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376826503 PECOS PAC ID: 8022282532 Enrollment ID: I20111118000471 |
Provider Name | Jerome Charles Wasserstein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174584452 PECOS PAC ID: 6305825233 Enrollment ID: I20120829000201 |
Provider Name | Akinwande Akintola |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942265038 PECOS PAC ID: 4688823057 Enrollment ID: I20120927000823 |
Provider Name | Shahab Ahmad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669649596 PECOS PAC ID: 1254576119 Enrollment ID: I20130325000160 |
Provider Name | Chaminda Fernando |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225359623 PECOS PAC ID: 0042453649 Enrollment ID: I20130829000666 |
Provider Name | Lebaone Llulu Mogotsakgotla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023456134 PECOS PAC ID: 9638305832 Enrollment ID: I20131118000959 |
Provider Name | Lisa Lauren Mckinstry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811329667 PECOS PAC ID: 2668794363 Enrollment ID: I20141209000370 |
Provider Name | Edna Akemu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447608278 PECOS PAC ID: 0840456810 Enrollment ID: I20160823002717 |
Provider Name | Taofeekat Folashade Ajibade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427406834 PECOS PAC ID: 5597954701 Enrollment ID: I20160907001275 |
Provider Name | Natali H Wooldridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801240841 PECOS PAC ID: 7012203417 Enrollment ID: I20160912001240 |
Provider Name | Alikia Abner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750834826 PECOS PAC ID: 5890921787 Enrollment ID: I20160929002035 |
Provider Name | Brian F Savage |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770034464 PECOS PAC ID: 1759660954 Enrollment ID: I20161110001811 |
Provider Name | Adrian Padilla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255618328 PECOS PAC ID: 3173782257 Enrollment ID: I20170117002076 |
Provider Name | Fiona Mao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235665878 PECOS PAC ID: 3274801790 Enrollment ID: I20170623001918 |
Provider Name | Jayna Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043726862 PECOS PAC ID: 3678832946 Enrollment ID: I20180111002079 |
Provider Name | Ugochi Odinmah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326574195 PECOS PAC ID: 9133480775 Enrollment ID: I20180222002762 |
Provider Name | Adrienne D Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033677414 PECOS PAC ID: 2163764481 Enrollment ID: I20190506002551 |
Provider Name | Kala Sugathan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558890632 PECOS PAC ID: 7517230824 Enrollment ID: I20190628002706 |
Provider Name | Esther K Conteh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891247920 PECOS PAC ID: 2062747413 Enrollment ID: I20190709000092 |
Provider Name | Mohamad Z Siddiqui |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568742666 PECOS PAC ID: 4587881552 Enrollment ID: I20191107000672 |
Provider Name | Renuka Sireesha Bellamkonda |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326455569 PECOS PAC ID: 7315282712 Enrollment ID: I20200902000254 |
Provider Name | Alice Nalondo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649832262 PECOS PAC ID: 2466879580 Enrollment ID: I20200903000329 |
Provider Name | Shini Robin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346870938 PECOS PAC ID: 1355760208 Enrollment ID: I20200928001002 |
Provider Name | Jennifer M Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104312362 PECOS PAC ID: 0042627614 Enrollment ID: I20210326000377 |
Provider Name | Furo Uba Fabunmi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730719014 PECOS PAC ID: 7315346541 Enrollment ID: I20210520001580 |
Provider Name | Marissa Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295324606 PECOS PAC ID: 7416355110 Enrollment ID: I20211011002487 |
Provider Name | Audra B Holeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235512195 PECOS PAC ID: 9537476833 Enrollment ID: I20211206000050 |
Provider Name | Jamie Lea Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124783329 PECOS PAC ID: 1355731365 Enrollment ID: I20211207000834 |
Provider Name | Iqbal Singh |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1659754414 PECOS PAC ID: 7517215163 Enrollment ID: I20211228000302 |
Provider Name | Kanza Asim Soomro |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770022279 PECOS PAC ID: 9931448628 Enrollment ID: I20220118001063 |
Provider Name | Linda Ngose Simo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558013896 PECOS PAC ID: 6204229552 Enrollment ID: I20220209000232 |
Provider Name | Luis Ruben Tellez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841950979 PECOS PAC ID: 0345635793 Enrollment ID: I20220321002792 |
Provider Name | Fredrick Odongo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104582006 PECOS PAC ID: 7618362070 Enrollment ID: I20220322000307 |
Provider Name | Anna Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639775620 PECOS PAC ID: 1658758966 Enrollment ID: I20220506000358 |
Provider Name | April Marin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568100659 PECOS PAC ID: 1951780261 Enrollment ID: I20220616001619 |
Provider Name | Olayomi Olonode |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316689102 PECOS PAC ID: 9931589470 Enrollment ID: I20220630001332 |
Provider Name | Nathaniel Maduakolam Nwosu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962134312 PECOS PAC ID: 4789067232 Enrollment ID: I20220816000763 |
Provider Name | Ria Lobarbio-smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689024507 PECOS PAC ID: 1759675564 Enrollment ID: I20221122000843 |
Provider Name | Carla Dennise Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164122149 PECOS PAC ID: 2062877483 Enrollment ID: I20230508000967 |
Provider Name | Neeharika Mettupalli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245657683 PECOS PAC ID: 6608154844 Enrollment ID: I20230816001300 |
Provider Name | Berenice Angelica Tarin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740960905 PECOS PAC ID: 3274989405 Enrollment ID: I20231025000455 |
Provider Name | Diana Nyaboke Ratemo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750005500 PECOS PAC ID: 4587836465 Enrollment ID: I20231117001362 |
Provider Name | Cameron Edward Sheid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821874348 PECOS PAC ID: 3870943517 Enrollment ID: I20231221001466 |
Provider Name | Jeneba Sheriff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710477799 PECOS PAC ID: 8123461647 Enrollment ID: I20240212001799 |
Provider Name | Manuel Terry Davis |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1023170941 PECOS PAC ID: 5799127189 Enrollment ID: I20240530003395 |
Provider Name | Ihuoma Uko Udeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497537930 PECOS PAC ID: 8426591777 Enrollment ID: I20240614003662 |
Provider Name | Fatima Foday Fofana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124725627 PECOS PAC ID: 6305381955 Enrollment ID: I20240708004121 |
Provider Name | Linda Varghese |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326357898 PECOS PAC ID: 1456571991 Enrollment ID: I20240814004652 |
Provider Name | Alessandra Santos Demoraes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205673613 PECOS PAC ID: 2163961426 Enrollment ID: I20240829004714 |
Richard W Demmler Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Park St, Baytown, TX 77520 Phone: 281-427-1644 | |
Eichelberger Medical Practice, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 James Bowie Drive, Suite A103, Baytown, TX 77520 Phone: 281-427-8502 Fax: 281-420-5575 | |
Atul T Shah Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Garth Road, Suite 115, Baytown, TX 77521 Phone: 281-422-7970 Fax: 281-422-7960 | |
Quynhbuimd Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4401 Garth Rd, Baytown, TX 77521 Phone: 281-420-8600 | |