DR. JESSE WILLIAM VREDENBURGH (NPI# 1174673685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174673685 |
| Entity Type | Individual |
| Full Name | DR. JESSE WILLIAM VREDENBURGH |
| Credential | D.O. |
| Practice Address |
24624 Interstate 45 N Ste 125 Spring TX 77386-4084 |
| Mailing Address |
745 Kings Point Hbr Corpus Christi TX 78402-1713 |
| Practice Telephone | 8326886111 |
| Practice Fax Number | 8323656132 |
| Mailing Telephone | 3615634325 |
| Mailing Fax Number | 3618804096 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
J1804 | TX | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | J1804 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
24624 INTERSTATE 45 N STE 125 |
| City | SPRING |
| State | TX |
| Zip Code | 77386-4084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972539799 | Lewis A Leavitt IIi | Emergency Medicine | 24624 Interstate 45 N Ste 125, Spring, TX 77386-4084 | 2006-06-23 |
| 1811537699 | Woodlands Health Group, Pllc | Durable Medical Equipment & Medical Supplies | 24624 Interstate 45 N Ste 125, Spring, TX 77386-4084 | 2020-01-09 |
| 1902389521 | Woodlands Health Group, Pllc | Physical Medicine & Rehabilitation | 24624 Interstate 45 N Ste 125, Spring, TX 77386-4084 | 2018-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1205452554 | Kira Marie Levy | Specialist | 25700 I-45 #415, Spring, TX 77386 | 2020-06-23 |
| 1356986590 | Zill Holding Inc | Hospice, Inpatient | 415 Woodline Drive, Spring, TX 77386 | 2019-11-12 |
| 1366906257 | Einstein's Pharmacy LLC | Pharmacy | 25190 I-45, Suite B2d, Spring, TX 77386 | 2019-01-25 |
| 1679043202 | Gershom Jinhyun Kim | Physical Therapist | 500 Spring Hill Drive #120, Spring, TX 77386 | 2018-11-27 |
| 1205349065 | Brazos Care Pharmacy LLC | Pharmacy | 990 Rayford Rd Ste 106, Spring, TX 77386 | 2017-11-14 |
| 1740718071 | Ideal Dental of Rayford Pllc | Dentist | 2200 Rayford Road, Suite 101, Spring, TX 77386 | 2017-05-31 |
| 1114453453 | Apollo Rehab At Woodlands, LLC | Skilled Nursing Facility | 24854 Cathedral Lakes Pkwy, Spring, TX 77386 | 2017-05-05 |
| 1093261620 | Pregnancy Assistance Center North | Clinic/Center | 26464 Interstate 45 North, Spring, TX 77386 | 2016-09-01 |
| 1861945388 | Scd,pllc | Dentist | 2833 Riley Fuzzel Rd, Suite #500, Spring, TX 77386 | 2016-08-02 |
| Find all providers in zip 77386 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740536309 | Yameen Ahmed Khalil | General Practice | 10302 Earlington Manor Dr, Spring, TX 77379-7464 | 2012-07-31 |
| 1528314820 | Avatar Home Health Care Agency, LLC | General Practice | 26003 Oak Ridge Dr, Spring, TX 77380-1956 | 2012-07-24 |
| 1558510917 | Stacey G Thomas | General Practice | 306 S Cypress Estates Cir, Spring, TX 77388-8939 | 2008-09-10 |
| 1376749770 | Donald W Smith Md Pa | General Practice | 17907 Kuykendahl Rd, Suite 101, Spring, TX 77379-8156 | 2007-06-22 |
| 1194782128 | Kai Ming Tong | General Practice | 16116 Stuebner Airline #9, Spring, TX 77379 | 2006-04-26 |
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| Find all providers with the same taxonomy | ||||
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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.