Central Metropolitan Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K1782 Issued in TX

Legal business name

CENTRAL METROPOLITAN MEDICINE PA

Practice address

1707 Calumet St
Houston, TX 77004-7209

Phone

(713) 523-4420

Fax

(713) 523-4335

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Robin Boliver-Campbell, M.D.

Title

Sole Proprietor

Phone

(713) 523-4420

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lavette Johnson-Caldwell, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1093711269
  NPD (past)
• Carolyn Davis Williams, R.PH.,D.C.,C.C.S.P.

  • Sports Physician Chiropractor
  • Houston, TX
  • NPI 1083756407
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1295807469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 CALUMET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047209",
            "telephone_number": "713-523-4420",
            "fax_number": "713-523-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 CALUMET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047209",
            "telephone_number": "713-523-4420",
            "fax_number": "713-523-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL METROPOLITAN MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "BOLIVER-CAMPBELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "713-523-4420",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118462404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Houston Psychiatry, PLLC
• Central Houston Surgical Center Affiliates, LLP
• Central Houston Surgical Center, LLC
• Central Houston Two Medical Group, PLLC
• Central Laredo Wellness
• Central Sleep Solutions, LLC
• Central Texas Prosthetics, LLC (Central Texas Prosthetics)
• Centrecare Home Health Services LLC
• Centrepath Counseling PLLC
• Centro de Maternidad (Twin Oaks Maternity and Womens Center)

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.