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Deactivated NPI 1962113159 Deactivated / Inactive NPI Female Practitioner

Dr. Tamika Cherron Bush , DO

Pediatrics • Houston, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Tamika Bush has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 09, 2007
NPI Deactivation Date July 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Tamika Bush, DO was a registered Pediatrics practicing in Houston, TX. Throughout an active medical career spanning 15 years, Dr. Bush provided care at the practice location at 21175 TOMBALL PKWY # 379 until profile deactivation on 2022-07-28.

Practice Location & Contact Primary Location

Practice Address

21175 Tomball Pkwy # 379

Houston, TX 770701655

Telephone 8334979429
Associated Practice Facility / Clinic
🏢 Pure G Kids, Llc Facility NPI 1467945865

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
1082 Specialists

Practicing in Houston, TX (5841 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX R0366

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License TX R0366

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NC 2008-01094

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5909986 (NC)
Medicaid State Provider ID
373523502 (TX)

Secondary Practice Locations

1200 N Elm St

Greensboro, NC 274011004

Phone: 3367162255

23900 Katy Fwy

Katy, TX 774941323

Phone: 2816447000

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
NPI Profile Active December 08, 2022

NPI status registered as active in NPPES database

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Updated Practice Location December 08, 2022

Registered at 21175 TOMBALL PKWY # 379, HOUSTON, TX 770701655 (Tel: 8334979429)

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Updated Business Mailing Address December 08, 2022

Registered at 21175 TOMBALL PKWY STE 379, HOUSTON, TX 770701655 (Tel: 4327010093)

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Provider Name / Credentials Updated December 08, 2022

Recorded as TAMIKA BUSH, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2022

Emergency Medicine (License #R0366 in TX)

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NPI Profile Deactivated July 28, 2022

Record deactivated on July 28, 2022

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Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962113159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: December 08, 2022
Deactivation Date: July 28, 2022
Sole Proprietor: No

Mailing Address

21175 Tomball Pkwy Ste 379

Houston, TX 770701655

Phone: 4327010093

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.