Abigail R Neiman MD PA
Organization Active NPI Rheumatology Physician · Houston, TX
NPI 1154522795 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154522795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- K9626 (TX)
- Legal business name
- ABIGAIL R NEIMAN MD PA
- Practice address
- 8830 Long Point Rd
Ste 105
Houston, TX 77055-3040 - Phone
- (713) 932-0054
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Abigail Rebecca Neiman, MD
- Title
- Owner
- Phone
- (713) 932-0054
Practitioners 3
-
Christopher Chiavaroli, P.T.
-
Lisa E Chose, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060118000315 | TX | Part B Supplier - Clinic/Group Practice | 2466476411 |
Receives reassigned benefits from 2 practitioners Practice locations: Houston, TX |
National Provider Directory
Locations
8830 Long Point Rd
Ste 801
Houston, TX 77055
Phone (713) 932-0054
902 Frostwood Dr
Ste 311
Houston, TX 77024
Phone (713) 932-0054
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEIFDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | K9626 | TX | Yes |
Addresses
Primary practice location
8830 Long Point Rd
Ste 105
Houston, TX 77055-3040
Mailing address
8830 Long Point Rd
Ste 105
Houston, TX 77055-3040
Phone (713) 932-0054
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1428364 | Other | TX | HM BCBS |
| 0002JE | Other | TX | BCBS |
| 7715345 | Other | TX | AETNA |
| 00063062 | Other | TX | BLUELINK |
NPI Registry JSON
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154522795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8830 LONG POINT RD",
"address_2": "STE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770553040",
"telephone_number": "713-932-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8830 LONG POINT RD",
"address_2": "STE 105",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770553040",
"telephone_number": "713-932-0054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABIGAIL R NEIMAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NEIMAN",
"authorized_official_first_name": "ABIGAIL",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-932-0054",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "K9626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HM BCBS",
"identifier": "1428364",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0002JE",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7715345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUELINK",
"identifier": "00063062",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Abiding Hearts HCS LLC
- Abiding Light Homecare
- Zaynab Abidogun
- Nora Abifaraj
- Abigail Candelari PHD PLLC
- Abigail'S Care Services
- Andrew Abikhaled
- Angelica Gian Abila
- Abilitating Center for Transformations
- Abilitee Homecare Inc
All providers in Houston, TX · Rheumatology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.