Greg Krenek, M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

J6529 Issued in TX

Legal business name

GREG KRENEK, M.D., P.A.

Practice address

503 Medical Center Blvd
Suite 140
Conroe, TX 77304-2928

Phone

(936) 756-0668

Fax

(936) 756-7787

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Greg Krenek, M.D.NPI 1669563458

Title

Physician

Phone

(936) 756-0668

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Greg Krenek, M.D.

  • Dermatology Physician
  • Conroe, TX
  • NPI 1669563458
  Medicare reassignment Care Compare group NPD Authorized official
• Sally Shaver

  • Family Nurse Practitioner
  • Huntsville, TX
  • NPI 1336533272
  Medicare reassignment Care Compare group NPD
• Leslie Shook Ledbetter, MD

  • Dermatology Physician
  • The Woodlands, TX
  • NPI 1477518538
  NPD (past)
• Edward R Gabovitch, M.D.

  • Rheumatology Physician
  • Indianapolis, IN
  • NPI 1205876661
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1073701181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MEDICAL CENTER BLVD",
            "address_2": "SUITE 140",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042928",
            "telephone_number": "936-756-0668",
            "fax_number": "936-756-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MEDICAL CENTER BLVD",
            "address_2": "SUITE 140",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042928",
            "telephone_number": "936-756-0668",
            "fax_number": "936-756-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG KRENEK, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "KRENEK",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "936-756-0668",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J6529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0039MB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serra Green, LPC
• Shawn Green
• Karrie Greenawalt, LPC
• Lindsey Greenfield
• Kimberly Corinne Greenhouse, LVN
• Philip Henry Greger Jr., MD
• Juanita Gregory, LVN
• Marilyn Gregory, APN
• Stephanie Kosut Gregory, LPC-S
• Prabhjot Kaur Grewal, M.D.

• Dermatology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.

Verify at the official NPI Registry.