Organization Active NPI

Northwest Oncology Clinic, PA

  • Medical Oncology Physician
  • Houston, TX
National Provider Identifier
1023189685
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
D7024 Issued in TX
Legal business name
NORTHWEST ONCOLOGY CLINIC, PA
Practice address
810 Peakwood Dr
Suite 101
Houston, TX 77090-2909
Phone
(281) 440-8951
Fax
(281) 440-0280
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Dr. Gary Edward Erwin, M.D.
Title
Owner
Phone
(281) 440-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X D7024 TX Primary

Addresses

Primary practice location

810 Peakwood Dr
Suite 101
Houston, TX 77090-2909

Mailing address

810 Peakwood Dr
Suite 101
Houston, TX 77090-2909
Phone (281) 440-8951

Other identifiers 1

IdentifierTypeStateIssuer
032318001MedicaidTX

National Provider Directory

National Provider Directory

Locations

810 Peakwood Dr
Ste 101
Houston, TX 77090
Phone (281) 440-8951

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1023189685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PEAKWOOD DR",
            "address_2": "SUITE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902909",
            "telephone_number": "281-440-8951",
            "fax_number": "281-440-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PEAKWOOD DR",
            "address_2": "SUITE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902909",
            "telephone_number": "281-440-8951",
            "fax_number": "281-440-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ONCOLOGY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-440-8951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "D7024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032318001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.