WOODLANDS PRIMARY CARE, PA (NPI# 1053682369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053682369 |
| Entity Type | Organization |
| Organization Name | WOODLANDS PRIMARY CARE, PA |
| Practice Address |
17350 St Lukes Way Suite 350 The Woodlands TX 77384-4100 |
| Mailing Address |
Po Box 131594 The Woodlands TX 77393-1594 |
| Practice Telephone | 9363216843 |
| Practice Fax Number | 9366471453 |
| Mailing Telephone | 9363216843 |
| Mailing Fax Number | 9366471453 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2014-04-30 |
| Authorized Official Name | SUNITHA CHACKO ALEXANDER (PRESIDENT) |
| Authorized Official Telephone | 9363216843 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
L5467 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
17350 ST LUKES WAY SUITE 350 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77384-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466365 | Kedarnath A Vaidya | Internal Medicine | 17350 St Lukes Way, Suite 400, The Woodlands, TX 77384-4167 | 2005-06-09 |
| 1144734682 | Christina Ann Quiroga | Nurse Practitioner | 17350 St Lukes Way, The Woodlands, TX 77384 | 2017-11-20 |
| 1104359819 | Debbie Arenstein | Nurse Practitioner | 17350 St Lukes Way, Suite 400, The Woodlands, TX 77384-4100 | 2017-04-10 |
| 1417494303 | Tina E. Hill | Nurse Practitioner | 17350 St Lukes Way, Suite 400, The Woodlands, TX 77384-4100 | 2017-01-30 |
| 1184078636 | Nicole Peyreau | Physician Assistant | 17350 St Lukes Way, Suite 400, The Woodlands, TX 77384-4100 | 2016-04-21 |
| 1003276577 | I45 Medical Center LLC | Pain Medicine | 17350 St Lukes Way, Suite 370, The Woodlands, TX 77384-4100 | 2016-02-26 |
| 1407229487 | Evelyn Chua Md Pllc | Internal Medicine | 17350 St Lukes Way, Ste 350, The Woodlands, TX 77384-4100 | 2015-11-12 |
| 1619344660 | Maria Theresa Uy | Nurse Practitioner | 17350 St Lukes Way, Suite 400, The Woodlands, TX 77384-4100 | 2015-08-25 |
| 1083080378 | Individual Voice Associates, LLC | Anesthesiology | 17350 St Lukes Way, Suite 370, The Woodlands, TX 77384-4100 | 2015-08-20 |
| 1225419716 | Woodlands Way Medical Center | Surgery | 17350 St Lukes Way, 370, The Woodlands, TX 77384-4100 | 2015-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700969219 | Michelle Keith Cunningham | Internal Medicine | 17450 St Lukes Way Ste 360, The Woodlands, TX 77384-8044 | 2006-10-20 |
| 1376507210 | Sunitha Chacko Alexander | Internal Medicine | 17350 St Lukes Way, Suite 350, The Woodlands, TX 77384-4100 | 2006-04-17 |
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| 1841830288 | Kennosa Kensha Gunn | Internal Medicine | 1300 Bay Area Blvd Ste 150, Houston, TX 77058-2505 | 2020-01-14 |
| 1679135420 | Pai Participant 9 Pa | Internal Medicine | 1550 Waters Ridge Dr, Lewisville, TX 75057-6011 | 2019-07-02 |
| 1972067718 | Primary & Palliative Home Care, Pllc | Internal Medicine | 8901 Emmett Lowry Expwy Suite A, Texas City, TX 77591 | 2019-01-25 |
| 1063986701 | Siddique Medical Associates Pllc | Internal Medicine | 2609 Webster Dr, Plano, TX 75075-6666 | 2019-01-16 |
| 1780198044 | Lucy E Quinn | Internal Medicine | 3910 Desert Springs Ln, Fulshear, TX 77441 | 2017-11-24 |
| 1457861411 | Apex House Calls, LLC | Internal Medicine | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | 2017-10-04 |
| 1669994570 | Mina Health Services, LLC | Internal Medicine | 8811 Teel Pkwy Ste 100, Frisco, TX 75035-4201 | 2017-07-12 |
| 1679023410 | Siddique Medical Associates Pa | Internal Medicine | 1611 Bryce Canyon Ln, Allen, TX 75002-2696 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | THE WOODLANDS |
| Zip Code | 77384 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.