| Internist Chronic Care Management Llc | |
|
110 N Concord Forest Cir The Woodlands TX 77381-6600 | |
| (281) 836-3577 | |
| (801) 883-8044 |
| Full Name | Internist Chronic Care Management Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 N Concord Forest Cir, The Woodlands, Texas |
| Authorized Official Name and Position | Thimos Paschalis (PHYSICIAN) |
| Authorized Official Contact | 2818363577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internist Chronic Care Management Llc 206 N 2100 W Ste 202 Salt Lake City UT 84116-4741 Ph: (801) 924-8571 | Internist Chronic Care Management Llc 110 N Concord Forest Cir The Woodlands TX 77381-6600 Ph: (281) 836-3577 |
| NPI Number | 1285199448 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 05/31/2019 |
| Medicare PECOS PAC ID | 2769715705 |
|---|---|
| Medicare Enrollment ID | O20190606002239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285199448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Barbara Whitaker Knott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700959400 PECOS PAC ID: 0941230106 Enrollment ID: I20050817000389 |
| Provider Name | Lisa G Foytik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801975230 PECOS PAC ID: 2860599339 Enrollment ID: I20070517000210 |
| Provider Name | Thimos G Paschalis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689733669 PECOS PAC ID: 0143414987 Enrollment ID: I20101105000085 |
| Provider Name | Rebecca Botkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477799922 PECOS PAC ID: 5698831147 Enrollment ID: I20110616000377 |
| Provider Name | Syed R Jafri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174876692 PECOS PAC ID: 5991932758 Enrollment ID: I20131226001181 |
| Provider Name | Scharlotte G Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568804490 PECOS PAC ID: 4082847256 Enrollment ID: I20140424001114 |
| Provider Name | Hammad A Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205123528 PECOS PAC ID: 8123242120 Enrollment ID: I20140613000364 |
| Provider Name | Humani A Oladapo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659741270 PECOS PAC ID: 1052473089 Enrollment ID: I20151211002205 |
| Provider Name | Jessica Gainey Secrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144671058 PECOS PAC ID: 0042504896 Enrollment ID: I20160802002431 |
| Provider Name | Francis Lerios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447704861 PECOS PAC ID: 5890083299 Enrollment ID: I20161018002619 |
| Provider Name | Mercy Gathogo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235592536 PECOS PAC ID: 2466731757 Enrollment ID: I20161109000388 |
| Provider Name | Nenna N Nzeocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760985683 PECOS PAC ID: 1052669389 Enrollment ID: I20190412001762 |
| Provider Name | Jennifer Diane Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730596362 PECOS PAC ID: 3375876055 Enrollment ID: I20190612000872 |
| Provider Name | Beverly J Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114428745 PECOS PAC ID: 0547599532 Enrollment ID: I20190917003111 |
| Provider Name | Tarah L Romanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164996492 PECOS PAC ID: 0941530562 Enrollment ID: I20190925000917 |
| Provider Name | Priscilla Amaka Ogunnowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184186116 PECOS PAC ID: 4486736618 Enrollment ID: I20191111000527 |
| Provider Name | Lueata Ann Evenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568637254 PECOS PAC ID: 9436570850 Enrollment ID: I20200610001600 |
| Provider Name | Lindsay Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033639810 PECOS PAC ID: 0446519466 Enrollment ID: I20201214002198 |
| Provider Name | Amber Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619357050 PECOS PAC ID: 3870806235 Enrollment ID: I20210428003213 |
| Provider Name | Leah Nyangeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447913777 PECOS PAC ID: 1951795228 Enrollment ID: I20220302001997 |
| Provider Name | Michelle Renea Helgerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427628270 PECOS PAC ID: 4688051386 Enrollment ID: I20220518002840 |
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