SANDSTONE MEDICAL (NPI# 1134772270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134772270 |
| Entity Type | Organization |
| Organization Name | SANDSTONE MEDICAL |
| Practice Address |
795 Fish Creek Thoroughfare Ste 270 Montgomery TX 77316 |
| Mailing Address |
1803 W White Oak Ter Ste B Conroe TX 77304-3675 |
| Practice Telephone | 2812030070 |
| Practice Fax Number | 9364368114 |
| Mailing Telephone | 2812030070 |
| Mailing Fax Number | 9365820410 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | DR. TONY WESLEY DERAMUS (PRESIDENT) |
| Authorized Official Telephone | 7138258670 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
795 FISH CREEK THOROUGHFARE STE 270 |
| City | MONTGOMERY |
| State | TX |
| Zip Code | 77316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940494 | Alliance Mri Woodforest LLC | Clinic/Center | 750 Fish Creek Thoroughfare, Suite 180, Montgomery, TX 77316 | 2020-04-07 |
| 1457997058 | Kristynik Eye Care Pllc | Optometrist | 791 Fish Creek Thoroughfare, Suite 50, Montgomery, TX 77316 | 2019-11-19 |
| 1710532684 | Knee Scooters Houston LLC | Durable Medical Equipment & Medical Supplies | 9937 Chestnut Ct, Montgomery, TX 77316 | 2019-08-07 |
| 1356801195 | Woodforest Fine Dentistry | Clinic/Center | 791 Fish Creek Thoroughfare Ste 40, Montgomery, TX 77316 | 2019-03-20 |
| 1467923169 | Jody Michele Reed | Counselor | 6360 Honea Egypt Rd, Montgomery, TX 77316 | 2018-12-06 |
| 1811490949 | Gregory Crocker | Chiropractor | 125 Blue Herron Dr Suite B, Montgomery, TX 77316 | 2018-03-15 |
| 1114302122 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2180 Woodforest Parkway N, Montgomery, TX 77316 | 2015-07-21 |
| 1518376698 | Jennifer Miller Hobock | Dentist | 2300 Woodforest Pkwy N, Ste 700, Montgomery, TX 77316 | 2014-08-04 |
| 1861815342 | Reese Ochoa | Chiropractor | 125 Blue Heron Dr Ste B, Montgomery, TX 77316 | 2014-02-04 |
| 1285721613 | Emmett Sterling Huff IIi | Emergency Medicine | 119 Monterrey Pines Drive, Montgomery, TX 77316 | 2006-10-06 |
| Find all providers in zip 77316 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619495041 | Healthworks Medical Group of Alabama P C | Clinic/Center | 2650 Gunter Park Dr E, Montgomery, AL 36109-1417 | 2017-09-06 |
| 1407268659 | Key Pointe Medical Weight Loss & Wellness Center LLC | Clinic/Center | 7770 Cooper Rd, Suite 8, Montgomery, OH 45242-7744 | 2014-05-22 |
| 1811171614 | Alabama Department of Rehabilitation Services | Clinic/Center | 2129 E South Blvd, Montgomery, AL 36116-2409 | 2007-12-28 |
| 1063548642 | Susan A Brannon | Clinic/Center | 8160 Seaton Pl, Montgomery, AL 36116-7204 | 2007-02-26 |
| 1508910431 | Alabama Department of Rehabilitation Services | Clinic/Center | 2129 E South Blvd, Montgomery, AL 36116-2409 | 2007-01-22 |
| 1396897674 | Catherine L Wood | Clinic/Center | 8160 Seaton Pl, Montgomery, AL 36116-7204 | 2007-01-17 |
| 1235281429 | Elizabeth W Diebel | Clinic/Center | 8160 Seaton Pl, Montgomery, AL 36116-7204 | 2007-01-17 |
| 1457403651 | Cheryl A Outland | Clinic/Center | 8160 Seaton Pl, Montgomery, AL 36116-7204 | 2007-01-17 |
| 1285786491 | Lamenda N Blakeney | Clinic/Center | 8160 Seaton Pl, Montgomery, AL 36116-7204 | 2007-01-17 |
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| 1669086963 | Cl Haven Enterprises | Clinic/Center | 4443 Loop 322, Abilene, TX 79602-8056 | 2020-09-03 |
| 1689292773 | Crossover Health Medical Group | Clinic/Center | 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 | 2020-07-06 |
| 1053939140 | Crossover Health Medical Group | Clinic/Center | 215 W Camp Wisdom Rd Ste 11, Duncanville, TX 75116-3342 | 2020-07-06 |
| 1598380271 | Hanson Discovery Group LLC | Clinic/Center | 6002 Lofty Ln, Spring, TX 77379-5087 | 2020-06-09 |
| 1770107856 | Vascular Institute of Houston Pllc | Clinic/Center | 815 Brazos St Ste 500, Austin, TX 78701-2509 | 2020-06-03 |
| 1497378988 | Post-acute Care Services, Pllc | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-05-19 |
| 1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 77316 |
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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.