REDDY & MCGOWAN PA (NPI# 1174551881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174551881 |
| Entity Type | Organization |
| Organization Name | REDDY & MCGOWAN PA |
| Practice Address |
504 Medical Center Blvd Nicu Crmc Conroe TX 77304-2808 |
| Mailing Address |
Po Box 3104 Conroe TX 77305-3104 |
| Practice Telephone | 9365397757 |
| Mailing Telephone | 9365397757 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | SHANTI B REDDY (PRINCIPAL OFFICER) |
| Authorized Official Telephone | 9365397757 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 181799101 | 05 |
| Street Address |
504 MEDICAL CENTER BLVD NICU CRMC |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395214 | Dawna Lavina Armstrong | Pathology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2005-06-13 |
| 1699384792 | Susan Kae Wooden | Nurse Practitioner | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2020-07-24 |
| 1811522204 | Ashley Hudson | Anesthesiologist Assistant | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2020-03-06 |
| 1609421593 | Ambient Anesthesia | Anesthesiology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-08-07 |
| 1154975233 | Kristina Brown | Dietitian, Registered | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-07-28 |
| 1437617768 | Julie M Quinn | Physical Medicine & Rehabilitation | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-03-05 |
| 1245798602 | Samuel Loera Diaz | Specialist/Technologist, Other | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-03-05 |
| 1144787136 | Leyla Aileen M Lastra | Specialist/Technologist, Other | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2019-02-26 |
| 1619491834 | Edmund Byron Webster Iv | Physician Assistant | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2017-07-30 |
| 1871034488 | Montgomery Orthopedic Care Specialists Pllc | Surgery | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2017-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245643980 | Woodlands Vascular Access Center LLC | Specialist | 17191 St Lukes Way Ste 280, Conroe, TX 77384-8043 | 2014-06-10 |
| 1013251990 | Kas Surgical Assistants LLC | Specialist | 3300 N Loop 336 W Apt 717, Conroe, TX 77304-3436 | 2012-11-16 |
| 1124280821 | Bullock Ob/gyn Pa | Specialist | 500 Medical Center Blvd Ste 200, Conroe, TX 77304-2800 | 2008-06-25 |
| 1922271295 | Mobolaji Odelowo M.d., P.a. | Specialist | 600 S Conroe Medical Dr Ste 102, Conroe, TX 77304-5341 | 2008-04-08 |
| 1891917290 | Franklin M Douglis Md Pa | Specialist | 3000 W Davis, Conroe, TX 77304-2072 | 2007-05-03 |
| 1215018569 | Wilmer Leo Wuest | Specialist | 333 N Rivershire Dr Ste 240, Conroe, TX 77304-2711 | 2006-10-17 |
| 1992802425 | Southeast Texas Hyperbaric Medicine | Specialist | 500 Medical Center Blvd Ste 110, Conroe, TX 77304-2800 | 2006-09-19 |
| 1194759258 | Yaiyun Judy Cheng | Specialist | 303 Longmire Rd, Ste 301, Conroe, TX 77304-2176 | 2006-07-11 |
| 1518958230 | Jerome Clayton Young | Specialist | 508 Medical Center Blvd, Ste 150, Conroe, TX 77304-2808 | 2005-11-02 |
| 1699771675 | John Edward Bock | Specialist | 800 Riverwood Ct, Ste 104, Conroe, TX 77304-2824 | 2005-06-23 |
| Find all providers in CONROE | ||||
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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.