Gregory Elders Spine PLLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

GREGORY ELDERS SPINE PLLC

Practice address

10857 Kuykendahl Rd Ste 120
The Woodlands, TX 77382-2937

Phone

(832) 403-3116

Fax

(936) 231-8746

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gregory J Elders, M.D.

Title

Owner

Phone

(832) 403-3116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1053843375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10857 KUYKENDAHL RD STE 120",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822937",
            "telephone_number": "832-403-3116",
            "fax_number": "936-231-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10857 KUYKENDAHL RD STE 120",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822937",
            "telephone_number": "832-403-3116",
            "fax_number": "936-231-8746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Hillcrest Dr",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767083157",
            "country_code": "US",
            "telephone_number": "888-624-6882",
            "fax_number": "888-882-4498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREGORY ELDERS SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-403-3116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387069301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Jason Greenberg, M.D.
• Jennifer Czaplicki Greenblatt, D.O.
• Heather Leigh Greenier, PHARMD, RPH
• Greenwood Services PLLC
• Alicia Laine Gregg
• Kathryn Geren Gregory
• Joshua Scott Griffin, M.D.
• Laura Lynne Griswold, MPT
• Joey Kevin Grochmal, MD, PHD
• Allison R Grodzki, PSY.D.

• Orthopaedic Surgery of the Spine Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.