Jep Cardiology Associates

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

L 1430 Issued in TX

Legal business name

JEP CARDIOLOGY ASSOCIATES

Practice address

3500 West Davis Street
Suite 220
Conroe, TX 77304

Phone

(936) 760-1691

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Edward Perry III, M.D.NPI 1649389446

Title

President

Phone

(936) 760-1691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeside Medical Clinc Doing business as

Locations

Practitioners 1

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

• John Edward Perry III, M.D.

  • Internal Medicine Physician
  • Conroe, TX
  • NPI 1649389446

  Cardiovascular Disease

  NPD (past) Authorized official

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043317514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NORTH SUMMER CLOUD DRIVE",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816225",
            "telephone_number": "281-989-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WEST DAVIS STREET",
            "address_2": "SUITE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "936-760-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEP CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-760-1691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L 1430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "L 1430",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Medical Clinc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sau Ming Jenkins
• Savannah Jenkins
• Jenelle Eyse Jennings
• Charlotte A Jensen, LPC
• Hyeyoon Christine Jeong
• Jestinas Adult Day Services
• Dora Luz Jimenez, MA,LPC
• Jo Ann G Taler, Ma, LPC, PLLC
• John C. Sparks Jr. MD
• John M. Fackler M.D. PA

• Cardiovascular Disease Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.