NPIMap

Organization Active NPI

Robert Neville & Associates PA

  • Podiatrist
  • The Woodlands, TX
National Provider Identifier
1023213824
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
990 Issued in TX
Legal business name
ROBERT NEVILLE & ASSOCIATES PA
Practice address
1120 Medical Plaza Dr Ste 180
The Woodlands, TX 77380-3250
Phone
(281) 364-9041
Fax
(281) 364-0755
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Rhonda K Pippin
Title
Office Manager
Phone
(281) 364-9041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 990 TX Primary

Addresses

Primary practice location

1120 Medical Plaza Dr Ste 180
The Woodlands, TX 77380-3250

Mailing address

1120 Medical Plaza Dr Ste 180
The Woodlands, TX 77380-3250
Phone (281) 364-9041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040818000951 TX Part B Supplier - Clinic/Group Practice 4688647498 Receives reassigned benefits from 6 practitioners
Practice locations: Conroe, TX; Shenandoah, TX
O20100930027351 TX DME Supplier - Physician - Podiatry 4688647498 Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

1222 N Loop 336 W
Conroe, TX 77301
Phone (936) 760-3736

1120 Medical Plaza Dr
Ste 180
Shenandoah, TX 77380
Phone (281) 364-9041

1120 Medical Plaza Dr
#2105
Shenandoah, TX 77380

28533 Spring Trails Rdg
Ste 105
Spring, TX 77386
Phone (281) 364-7301

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1023213824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR STE 180",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803250",
            "telephone_number": "281-364-9041",
            "fax_number": "281-364-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MEDICAL PLAZA DR STE 180",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803250",
            "telephone_number": "281-364-9041",
            "fax_number": "281-364-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT NEVILLE & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "PIPPIN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-364-9041"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.