| Rodom Medical Consulting Pa | |
|
2401 Morse St Houston TX 77019-6731 | |
| (281) 573-0330 | |
| (713) 437-3977 |
| Full Name | Rodom Medical Consulting Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2401 Morse St, Houston, Texas |
| Authorized Official Name and Position | Dominick S Daunno (OWNER) |
| Authorized Official Contact | 8327046500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodom Medical Consulting Pa 1708 Elmen St Houston TX 77019-5702 Ph: (713) 526-7813 | Rodom Medical Consulting Pa 2401 Morse St Houston TX 77019-6731 Ph: (281) 573-0330 |
| NPI Number | 1558380790 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 04/13/2022 |
| Medicare PECOS PAC ID | 9638176233 |
|---|---|
| Medicare Enrollment ID | O20061024000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558380790 | NPI | - | NPPES |
| 1467678250 | Other | TX | AMERIGROUP |
| 146772204 | Medicaid | TX | |
| 8AG180 | Other | TX | BLUE CROSS BLUE SHIELD |
| 0007978936 | Other | TX | AETNA |
| 116880906 | Medicaid | TX | |
| 1467678250 | Other | TX | EVERCARE |
| 1467678250 | Other | TX | TEXAS CHILDRENS HEALTHPLAN |
| 1467678250 | Other | TX | BLUE CROSS BLUE SHIELD |
| 1467678250 | Medicaid | TX | |
| 286580001 | Medicaid | TX | |
| 8AG182 | Other | TX | BLUE CROSS BLUE SHIELD |
| 01064961 | Other | TX | AMERIGROUP |
| 1467678250 | Other | TX | MOLINA HEALTHCARE |
| 20-02144 | Other | TX | EVERCARE CHOICE |
| 142056403 | Medicaid | TX | |
| 183751001 | Medicaid | TX | |
| 183752801 | Medicaid | TX | |
| 8AG181 | Other | TX | BLUE CROSS BLUE SHIELD |
| 8AG183 | Other | TX | BLUE CROSS BLUE SHIELD |
| 092291603 | Medicaid | TX | |
| 20-02144 | Other | TX | UNITED HEALTHCARE |
| 8AG184 | Other | TX | BLUE CROSS BLIELD SHIELD |
| 157318003 | Medicaid | TX | |
| 0062PV | Other | TX | BCBS |
| 4318382 | Other | TX | CIGNA |
| 860N30 | Other | TX | BLUE CROSS BLUE SHIELD |
| 8AG187 | Other | TX | BLUE CROSS BLUE SHIELD |
| Provider Name | Dominick S Daunno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881652436 PECOS PAC ID: 3971586546 Enrollment ID: I20040612000700 |
| Provider Name | Rodney B Trimble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922056597 PECOS PAC ID: 6608850854 Enrollment ID: I20040615001236 |
| Provider Name | Kay R Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447278668 PECOS PAC ID: 2961472758 Enrollment ID: I20040729000063 |
| Provider Name | Lance Dee Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619050952 PECOS PAC ID: 1456320886 Enrollment ID: I20041001000094 |
| Provider Name | Shelly Lynn Walker-adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760448880 PECOS PAC ID: 0648239947 Enrollment ID: I20041004000358 |
| Provider Name | Sorab M Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386637767 PECOS PAC ID: 1355352121 Enrollment ID: I20060508000557 |
| Provider Name | Helen Shpats |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144278813 PECOS PAC ID: 9133130917 Enrollment ID: I20060508000701 |
| Provider Name | Harry Y Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356468839 PECOS PAC ID: 9739289265 Enrollment ID: I20070712000268 |
| Provider Name | Kathy D Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962699074 PECOS PAC ID: 4587749916 Enrollment ID: I20080310000659 |
| Provider Name | Angela H Grimaldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285823344 PECOS PAC ID: 7719057678 Enrollment ID: I20080604000029 |
| Provider Name | Tina J Philip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174793970 PECOS PAC ID: 4587710439 Enrollment ID: I20090918000252 |
| Provider Name | Felicity Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356662134 PECOS PAC ID: 1355506825 Enrollment ID: I20120706000606 |
| Provider Name | Namita Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124287081 PECOS PAC ID: 4789840729 Enrollment ID: I20120719000396 |
| Provider Name | Lindsey E Tijerina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225359235 PECOS PAC ID: 2860633583 Enrollment ID: I20130723000629 |
| Provider Name | Jeffrey Angell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497002877 PECOS PAC ID: 4981837051 Enrollment ID: I20140426000014 |
| Provider Name | Bineeta Shukla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366814832 PECOS PAC ID: 7719281823 Enrollment ID: I20160210002382 |
| Provider Name | Michael Hoffmann |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255624235 PECOS PAC ID: 4486950458 Enrollment ID: I20160317000853 |
| Provider Name | Andrea Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578012852 PECOS PAC ID: 2961780895 Enrollment ID: I20161028000085 |
| Provider Name | Jennifer Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295968980 PECOS PAC ID: 4688714371 Enrollment ID: I20161129001477 |
| Provider Name | Michael Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922473834 PECOS PAC ID: 3274813738 Enrollment ID: I20161130000056 |
| Provider Name | Regenna M Babin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790932150 PECOS PAC ID: 4688705437 Enrollment ID: I20180205000195 |
| Provider Name | Tania Hight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720563133 PECOS PAC ID: 9739433087 Enrollment ID: I20181126003123 |
| Provider Name | Desiree Elise Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740747807 PECOS PAC ID: 6002149226 Enrollment ID: I20190603002424 |
| Provider Name | Nina Grena Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467966374 PECOS PAC ID: 3678803764 Enrollment ID: I20191003000720 |
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