Organization Active NPI

Woodlands Primary Care, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • The Woodlands, TX
National Provider Identifier
1053682369
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
L5467 Issued in TX
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

Updated by the provider on Apr 30, 2014

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

129 Vision Park Blvd
Ste 205
Shenandoah, TX 77384
Phone (281) 825-3344

Interoperability endpoints

  • FHIR API: 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

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.

Verify at the official NPI Registry.