Active NPI
Northwoods Urology of Texas PLLC
- Urology Physician
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- NORTHWOODS UROLOGY OF TEXAS PLLC
- Practice address
- 135 Vision Park Blvd
Shenandoah, TX 77384-3001 - Phone
- (281) 404-3000
- Fax
- (936) 273-6911
- NPI assigned
- Apr 30, 2012
- Last updated
- Dec 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul R Kenworthy, M.D.
- Title
- Managing Partner
- Phone
- (281) 404-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Acute Care Nurse Practitioner | 363LA2100X |
Addresses
Primary practice location
135 Vision Park Blvd
Shenandoah, TX 77384-3001
Mailing address
135 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (281) 404-3000
Other practice location 1
350 Kingwood Medical Dr Ste 140
Kingwood, TX 77339-6406
Phone (281) 404-3000
Other practice location 2
100 Medical Center Pkwy Ste 600
Huntsville, TX 77340-4965
Phone (281) 404-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
350 Kingwood Medical Dr
Ste 140
Kingwood, TX 77339
Phone (281) 359-1911
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIJGAD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Huntsville, TX
- NPI 1295795698
-
- Urology Physician
- Kingwood, TX
- NPI 1750341434
-
- Acute Care Nurse Practitioner
- Shenandoah, TX
- NPI 1053401588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1043578859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 VISION PARK BLVD",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843001",
"telephone_number": "281-404-3000",
"fax_number": "936-273-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 VISION PARK BLVD",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843001",
"telephone_number": "281-404-3000",
"fax_number": "936-273-6911"
}
],
"practiceLocations": [
{
"address_1": "350 Kingwood Medical Dr Ste 140",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "TX",
"postal_code": "773396406",
"country_code": "US",
"telephone_number": "281-404-3000",
"fax_number": "936-273-6911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Center Pkwy Ste 600",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "TX",
"postal_code": "773404965",
"country_code": "US",
"telephone_number": "281-404-3000",
"fax_number": "936-273-6911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTHWOODS UROLOGY OF TEXAS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-30",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "KENWORTHY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "281-404-3000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
- North Houston Hospitalists PA (Respiratory and Sleep Disorders Specialists)
- North Houston Internal Medicine, PA
- North Houston One Medical Group, PLLC
- Northside Doctors, P.a.
- Northwoods Urology Association
- Nouvelle Psychiatry PLLC
- Nurturing Nature Child and Family Therapy, PLLC
- Ryan A O'Banion, PA-C
- Patrick Toluwatele Ogidan, M.D.
- Sharon Tiwalola Ogidan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.