MARY ELLEN GANN (NPI# 1336226158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336226158 |
Entity Type | Individual |
Full Name | MARY ELLEN GANN |
Credential | PA-C |
Practice Address |
3205 W Davis St Suite B 150 Conroe TX 77304-2039 |
Practice Telephone | 9367566661 |
Practice Fax Number | 9367566681 |
Mailing Telephone | 9367566661 |
Mailing Fax Number | 9367566681 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2008-02-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02408 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3205 W DAVIS ST SUITE B 150 |
City | CONROE |
State | TX |
Zip Code | 77304-2039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811991524 | Conroe Family Medicine, Pa | Family Medicine | 3205 W Davis St, Ste B150, Conroe, TX 77304-2066 | 2005-06-09 |
1285844431 | Rebecca Guillory Maxwell | Specialist | 3205 W Davis St, Conroe, TX 77304-2039 | 2007-05-23 |
1538378831 | Meri Laydevant | Specialist | 3205 W Davis St, Conroe, TX 77304-2039 | 2007-05-22 |
1891903720 | Colleen Bridget Eldredge | Occupational Therapy Assistant | 3205 W Davis St, Conroe, TX 77304-2039 | 2007-05-21 |
1396953220 | Maria Clemencia Defrancisco | Occupational Therapy Assistant | 3205 W Davis St, Conroe, TX 77304-2039 | 2007-05-21 |
1720290745 | Linda Jones | Physical Therapist | 3205 W Davis St, Conroe, TX 77304-2039 | 2007-05-03 |
1477688349 | Ronald Eugene Bautsch | Dentist | 3205 W Davis St, Suie B250, Conroe, TX 77304-2039 | 2007-02-22 |
1871634998 | Conroe Independent School District | Local Education Agency (LEA) | 3205 W Davis St, Conroe, TX 77304-2039 | 2007-02-09 |
1962569194 | Rhonda S. Patterson | Occupational Therapist | 3205 W Davis St, Conroe, TX 77304-2039 | 2007-01-03 |
1538216767 | Denise Elaine Crabtree | Physical Therapist | 3205 W Davis St, Conroe, TX 77304-2039 | 2007-01-03 |
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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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
1548505001 | Stephanie Michelle Oliver | Physician Assistant | 17002 Gleneagle Dr S, Conroe, TX 77385-4614 | 2012-12-10 |
1518267780 | Asmita Momin | Physician Assistant | 3251 Interstate 45 North, Suite 100, Conroe, TX 77304 | 2010-10-21 |
1043236763 | Eduardo Francisco Limonta | Physician Assistant | 690 S Loop 336 W Ste 300, Conroe, TX 77304-3320 | 2006-07-14 |
1144261595 | Duyen Wolken | Physician Assistant | 2441 Westhoff Ct, Conroe, TX 77384-3366 | 2006-06-09 |
1023671567 | David Hoang | Physician Assistant | 503 Medical Center Blvd Ste 100, Conroe, TX 77304-2928 | 2019-04-19 |
1265724686 | Ruth Amanda Collier | Physician Assistant | 9297 Wahrenberger Rd, Conroe, TX 77304-2441 | 2011-05-03 |
1457671729 | Teiy Bun Canlas | Physician Assistant | 508 Medical Center Blvd, Conroe, TX 77304-2808 | 2010-06-09 |
1134361959 | Carisa K Richter | Physician Assistant | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2009-03-25 |
1528234044 | Taslima A Karim | Physician Assistant | 503 Medical Center Blvd, Suite 100, Conroe, TX 77304-2928 | 2008-05-05 |
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.