Ninan T. Mathew, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D9558 Issued in TX

Legal business name

NINAN T. MATHEW, M.D., P.A.

Practice address

1213 Hermann Dr
Suite 820
Houston, TX 77004-7018

Phone

(713) 528-1916

Fax

(713) 526-6369

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Emily F Hernandez

Title

Administrator

Phone

(713) 528-1916

Specialties & licenses 1

Addresses

Other names 1

• Houston Headache Clinic Doing business as

Locations

Practitioners 1

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

• Jayasree Kailasam, M.D

  • Internal Medicine Physician
  • McKinney, TX
  • NPI 1114983061
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1902095995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-528-1916",
            "fax_number": "713-526-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-528-1916",
            "fax_number": "713-526-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINAN T. MATHEW, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-528-1916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "D9558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Headache Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jena Nimri
• Nadeem Nimri
• Sarah Monther Nimri, MD
• James A Nims
• Kelsey Nimtz
• Elizabeth Priya Ninan, PA-C
• Elizabeth Tara Ninan, M.D. MBBS
• Sheeba M Ninan, NURSE PRACTITIONER
• Stanley Matthews Ninan, APN
• Tara Jane Ninan, M.D.

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.