Level One Foundation Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

LEVEL ONE FOUNDATION INC

Doing business as

D and S MEDICAL OF HOUSTON WEIGHT LOSS CLINIC

Practice address

3460 Ella Blvd
Houston, TX 77018-6135

Phone

(832) 387-3918

NPI assigned

Apr 16, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Derwin Jerome Blackshear

Title

Ceo

Phone

(713) 290-8075

Specialties & licenses 1

Addresses

Other names 1

• D and S MEDICAL OF HOUSTON WEIGHT LOSS CLINIC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302912000000",
    "number": "1174813711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186135",
            "telephone_number": "832-387-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186135",
            "telephone_number": "832-387-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL ONE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-16",
        "last_updated": "2011-04-16",
        "status": "A",
        "authorized_official_last_name": "BLACKSHEAR",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-290-8075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D and S MEDICAL OF HOUSTON WEIGHT LOSS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Leuschner, COTA
• Chimea Monique Levant, LMSW
• Arianne Nichelle Levario
• Fernando Pano Levaro, MD
• Swee-Ling Lim Levea, MD
• Level Up Wellness
• Leveled Up Staffing LLC
• Charles F. Levenback, M.D.
• Vasiliki Leventaki, MD
• Christopher Leveque, MD

• Exclusive Provider Organization in Houston, TX
• Providers in Houston, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.