Prime Rheumatology Clinic of Houston PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

N8040 Issued in TX

Legal business name

PRIME RHEUMATOLOGY CLINIC OF HOUSTON PLLC

Practice address

17191 St Lukes Way
Ste 220
The Woodlands, TX 77384-8042

Phone

(832) 821-5550

Fax

(936) 207-4109

NPI assigned

Apr 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gwendoline Menga, M.D.NPI 1447496047

Title

Sole MBR

Phone

(832) 821-5550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICHBDA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwendoline Ngankeu Menga, DO

  • Rheumatology Physician
  • Conroe, TX
  • NPI 1447496047
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1013303858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17191 ST LUKES WAY",
            "address_2": "STE 220",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848042",
            "telephone_number": "832-821-5550",
            "fax_number": "936-207-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 ST LUKES WAY",
            "address_2": "STE 220",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848042",
            "telephone_number": "832-821-5550",
            "fax_number": "936-207-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME RHEUMATOLOGY CLINIC OF HOUSTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "MENGA",
        "authorized_official_first_name": "GWENDOLINE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "832-821-5550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "N8040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DV7370",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prestige Spinal Care, LLC (Prestige Spinal Care)
• Prevention and Recovery Center, Inc. (Prevention and Recovery Center, The Woodlands IOP)
• Madare E Previlor, ACNP-BC
• Eric William Price, MD
• Christopher D Prihoda, MD
• Prince Health and Wellness LLC
• Prion, LLC
• Priority Emergency Physicians- the Woodlands PLLC
• Priority Emergency Room-the Woodlands,LLC
• Privia Medical Group Gulf Coast, PLLC (University Pain)

• Rheumatology Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.