Organization Active NPI

Woodlands Wound Physicians, PA

  • Family Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1043562770
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8104 Issued in TX
Legal business name
WOODLANDS WOUND PHYSICIANS, PA
Practice address
17450 St Lukes Way
Ste. 350
The Woodlands, TX 77384-8044
Phone
(936) 266-2150
Fax
(936) 266-8527
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Caroline Esther Fife, MD
Title
President
Phone
(800) 603-7896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G8104 TX Primary

Addresses

Primary practice location

17450 St Lukes Way
Ste. 350
The Woodlands, TX 77384-8044

Mailing address

2700 Research Forest Dr
Ste. 100
The Woodlands, TX 77381-4252
Phone (800) 603-7896

National Provider Directory

National Provider Directory

Locations

2700 Research Forest Dr
Ste 100
The Woodlands, TX 77381

17450 St Lukes Way
Ste 350
The Woodlands, TX 77384
Phone (936) 266-2150

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1043562770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 RESEARCH FOREST DR",
            "address_2": "STE. 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814252",
            "telephone_number": "800-603-7896",
            "fax_number": "832-550-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17450 ST LUKES WAY",
            "address_2": "STE. 350",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848044",
            "telephone_number": "936-266-2150",
            "fax_number": "936-266-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS WOUND PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-603-7896",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8104",
            "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 Dec 4, 2015; 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.