NEOCORETECH (NPI# 1174073282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174073282 |
| Entity Type | Organization |
| Organization Name | NEOCORETECH |
| Practice Address |
114 Vision Park Blvd Ste 102 Shenandoah TX 77384-3008 |
| Mailing Address |
Po Box 130243 Spring TX 77393-0243 |
| Practice Telephone | 2818913815 |
| Practice Fax Number | 2819418715 |
| Mailing Telephone | (832) 813-8280 |
| Mailing Fax Number | 8005002344 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | STEVE ROPHAIL (MANAGING PARTNER) |
| Authorized Official Telephone | 7136794487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
114 VISION PARK BLVD STE 102 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932517091 | Duramed Services LLC | Durable Medical Equipment & Medical Supplies | 114 Vision Park Blvd Ste 102, Shenandoah, TX 77384-3008 | 2014-07-31 |
| 1194212183 | Pinewood Sleep Center LLC | Specialist/Technologist, Other | 114 Vision Park Blvd Ste 102, Shenandoah, TX 77384-3008 | 2018-04-16 |
| 1356873418 | Durequip Services | Durable Medical Equipment & Medical Supplies | 114 Vision Park Blvd Ste 102, Shenandoah, TX 77384-3008 | 2017-03-29 |
| 1477007466 | 1488 Infusion Center | Clinic/Center | 114 Vision Park Blvd Ste 102, Shenandoah, TX 77384-3008 | 2016-08-08 |
| 1568846269 | Woodlands Select Infusion LLC | Specialist/Technologist, Other | 114 Vision Park Blvd Ste 102, Shenandoah, TX 77384-3008 | 2015-07-13 |
| 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 | 246ZE0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194212183 | Pinewood Sleep Center LLC | Specialist/Technologist, Other | 114 Vision Park Blvd Ste 102, Shenandoah, TX 77384-3008 | 2018-04-16 |
| 1568846269 | Woodlands Select Infusion LLC | Specialist/Technologist, Other | 114 Vision Park Blvd Ste 102, Shenandoah, TX 77384-3008 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724798 | Optimum Iom Tech, LLC | Specialist/Technologist, Other | 3526 Lakeview Pkwy # B132, Rowlett, TX 75088-4176 | 2020-03-10 |
| 1386287159 | Pulse Diagnostic Services,llc | Specialist/Technologist, Other | 17434 Red Oak Dr, Houston, TX 77090-1246 | 2019-10-23 |
| 1902455330 | Tonya Lannette Jack | Specialist/Technologist, Other | 2000 E Lamar Blvd Ste 608, Arlington, TX 76006-7346 | 2019-09-09 |
| 1588122436 | Katrina Reichardt | Specialist/Technologist, Other | 3308 Ella Blvd Ste L, Houston, TX 77018-7336 | 2019-03-11 |
| 1578033254 | Nibu Jacob Malaickal | Specialist/Technologist, Other | 304 S Coppell Rd, Coppell, TX 75019-2417 | 2018-11-26 |
| 1750867123 | Icon Neuromonitoring, LLC | Specialist/Technologist, Other | 23742 Ardmore Cove Dr, Spring, TX 77386-4255 | 2018-07-18 |
| 1720571854 | Poly-rhythms | Specialist/Technologist, Other | 2531 Copper Fields Dr, Rosharon, TX 77583-3273 | 2018-06-13 |
| 1629584552 | Amb Eeg LLC | Specialist/Technologist, Other | 1100 Glade Rd Ste 2, Colleyville, TX 76034-4227 | 2017-12-14 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1972015089 | Caroline Cowles Collins | Specialist/Technologist, Other | 25 Highland Park Vlg # 100-225, Dallas, TX 75205-2789 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 77384 |
Please comment or provide details below to improve the information on NEOCORETECH.
| 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.