Clear Lake Internal Medicine Care PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

K2581 Issued in TX

Legal business name

CLEAR LAKE INTERNAL MEDICINE CARE PA

Practice address

709 Medical Center Dr.
Cornerstone Hospital
Webster, TX 77598

Phone

(713) 770-0691

Fax

(281) 220-8356

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Firoozeh Rose Saheb Kar, M.D.

Title

President

Phone

(713) 770-0691

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Asmaa Hussein, AGPCNP-BC

  • Nurse Practitioner
  • Webster, TX
  • NPI 1760946503
  NPD (past)
• Eliana Victoria Jimenez, AGACNP

  • Gerontology Nurse Practitioner
  • Webster, TX
  • NPI 1013550573
  NPD (past)
• Tracy Beeman Hawkins, PMHNP, FNP

  • Psychiatry Physician
  • Denver, CO
  • NPI 1477051720
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1972780906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772891125",
            "telephone_number": "713-770-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MEDICAL CENTER DR.",
            "address_2": "CORNERSTONE HOSPITAL",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "713-770-0691",
            "fax_number": "281-220-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE INTERNAL MEDICINE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "KAR",
        "authorized_official_first_name": "FIROOZEH",
        "authorized_official_middle_name": "ROSE  SAHEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-770-0691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K2581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174317101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD2664",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0054MS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Lake Healthcare
• Clear Lake Hospitalists PA
• Clear Lake Inpatient Care PA
• Clear Lake Institute for Rehabilitation LLC
• Clear Lake Integrated Health Care
• Clear Lake Laboratory LLC
• Clear Lake Neuro Diagnostic Clinic PLLC
• Clear Lake OBGYN, PLLC
• Clear Lake Oncology PLLC
• Clear Lake Ophthalmology Clinic PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.