Active NPI
Woodlands Primary Care, PA
- Geriatric Medicine (Internal Medicine) Physician
- The Woodlands, TX
National Provider Identifier
1053682369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- L5467
- Legal business name
- WOODLANDS PRIMARY CARE, PA
- Practice address
- 17350 St Lukes Way
Suite 350
The Woodlands, TX 77384-4100 - Phone
- (936) 321-6843
- Fax
- (936) 647-1453
- NPI assigned
- Jan 18, 2012
- 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
- Sunitha Chacko Alexander, MD
- Title
- President
- Phone
- (936) 321-6843
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | L5467 | TX | Primary |
Addresses
Primary practice location
17350 St Lukes Way
Suite 350
The Woodlands, TX 77384-4100
Mailing address
PO Box 131594
The Woodlands, TX 77393-1594
Phone (936) 321-6843
National Provider Directory
National Provider DirectoryLocations
129 Vision Park Blvd
Ste 205
Shenandoah, TX 77384
Phone (281) 825-3344
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIEABA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398816000000",
"number": "1053682369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 131594",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773931594",
"telephone_number": "936-321-6843",
"fax_number": "936-647-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17350 ST LUKES WAY",
"address_2": "SUITE 350",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773844100",
"telephone_number": "936-321-6843",
"fax_number": "936-647-1453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLANDS PRIMARY CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-18",
"last_updated": "2014-04-30",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "SUNITHA",
"authorized_official_middle_name": "CHACKO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "936-321-6843",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "L5467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
- Woodlands Open MRI & Imaging Center L P
- Woodlands Oral & Maxillofacial Surgery
- Woodlands Oral & Maxillofacial Surgery
- Woodlands Orthopedics,PA
- Woodlands Physical Therapy and Recovery LLC
- Woodlands Psychotherapy and Brain Training
- Woodlands Radiology LLC
- Woodlands Specialty Hospital
- Woodlands Spine & Rehab PLLC
- Woodlands Sports and Joint Reconstuction Institute, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.