SCARBOROUGH FAMILY MEDICINE, PLLC (NPI# 1679997530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679997530 |
| Entity Type | Organization |
| Organization Name | SCARBOROUGH FAMILY MEDICINE, PLLC |
| Other Organization Name | FAMILY LIFE MEDICAL |
| Practice Address |
508 Medical Center Blvd Suite 350 Conroe TX 77304-2953 |
| Mailing Address |
Po Box 2727 Conroe TX 77305-2727 |
| Practice Telephone | 7133963900 |
| Practice Fax Number | 9367604639 |
| Mailing Telephone | 7133963900 |
| Mailing Fax Number | 9367604639 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |
| Authorized Official Name | JUDY MCFARLAND (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7133963900 |
| Authorized Official Credential | CPCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H8380 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Life Medical | Doing Business As Name - Organization |
| Street Address |
508 MEDICAL CENTER BLVD SUITE 350 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518958230 | Jerome Clayton Young | Specialist | 508 Medical Center Blvd, Ste 150, Conroe, TX 77304-2808 | 2005-11-02 |
| 1073069084 | Laboratory Corporation of America | Clinical Medical Laboratory | 508 Medical Center Blvd, Conroe, TX 77304-2953 | 2016-08-30 |
| 1063894764 | Larissa Eisenmenger | Nurse Practitioner | 508 Medical Center Blvd, Suite 350, Conroe, TX 77304-2953 | 2015-06-18 |
| 1639437189 | Family Medicine Associates of Conroe Pllc | Family Medicine | 508 Medical Center Blvd, Suite 300, Conroe, TX 77304-2808 | 2012-05-02 |
| 1134449283 | Lauren Morgan Hollis | Physician Assistant | 508 Medical Center Blvd, Ste 200, Conroe, TX 77304-2808 | 2010-06-10 |
| 1457671729 | Teiy Bun Canlas | Physician Assistant | 508 Medical Center Blvd, Conroe, TX 77304-2808 | 2010-06-09 |
| 1003057613 | Marie Elizabeth Cantrell | Specialist/Technologist, Other | 508 Medical Center Blvd, Conroe, TX 77304-2808 | 2009-03-11 |
| 1699930511 | Susan A Gandy | Nutritionist | 508 Medical Center Blvd, Conroe, TX 77304-2808 | 2008-07-21 |
| 1497914709 | Mary Ellen Ostrowski | Nurse Practitioner | 508 Medical Center Blvd, Suite 200, Conroe, TX 77304-2953 | 2008-06-03 |
| 1932366135 | Chanh M Nguyen | Internal Medicine | 508 Medical Center Blvd, Ste 200, Conroe, TX 77304-2808 | 2008-05-16 |
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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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490543 | Tamara Marie Oluwafemi | Family Medicine | 10051 S Whimbrel Cir, Conroe, TX 77385-0010 | 2019-11-01 |
| 1538625363 | Kathy Jean Garvin | Family Medicine | 3000 W Davis St Ste 1, Conroe, TX 77304-2073 | 2019-02-17 |
| 1659885069 | Greater Houston Family Medicine, Pllc | Family Medicine | 100 Medical Center Blvd Ste 104, Conroe, TX 77304-2821 | 2017-11-21 |
| 1487178208 | Cure-tex Clinic | Family Medicine | 8000 Highway 242 # 16, Conroe, TX 77385-4342 | 2017-08-02 |
| 1902336456 | Elizabeth Flora Slauter | Family Medicine | 690 S Loop 336 W Ste 222, Conroe, TX 77304-3320 | 2017-06-18 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| 1063774842 | Justin Grissom | Family Medicine | 4015 I H 45 N Ste 100, Conroe, TX 77304 | 2012-06-08 |
| 1346533841 | Simi Koshy | Family Medicine | 503 Medical Center Blvd Ste 100, Conroe, TX 77304-2928 | 2011-05-17 |
| 1225298391 | Santosh R Reddy | Family Medicine | 17002 Gleneagle Dr. South, Conroe, TX 77385 | 2008-06-12 |
| 1316132335 | Miguel Flores & Associates, P.a. | Family Medicine | 804 W Dallas St, Ste #4, Conroe, TX 77301-2248 | 2007-09-12 |
| 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.