Kent E Anthony, MD
Individual provider Active NPI Family Medicine Physician · Baytown, TX
NPI 1083697296 · NPPES record last updated Aug 26, 2013
Key facts
- NPI
- 1083697296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G4438 (TX)
- Practice address
- 4301 Garth Rd
Suite 400
Baytown, TX 77521 - Phone
- (281) 420-8400
- Fax
- (713) 523-4897
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060502000752 | TX | Practitioner - Family Practice | 0749209690 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4438 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current |
Accepting new patients | |
| Shelby Emergency Medicine Associates, PA | Past | Accepting new patients | |
| Limestone Emergency PA | Past | Accepting new patients | |
| G.T. Emergency Physicians PLLC | Past | Accepting new patients | |
| Sulphur Emergency Group LLC | Past | Accepting new patients |
Locations
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
Interoperability endpoints
- kanthonymd34637@direct.utmb.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G4438 | TX | Yes |
Addresses
Primary practice location
4301 Garth Rd
Suite 400
Baytown, TX 77521
Mailing address
PO Box 66308
Houston, TX 77266-6308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139577415 | Medicaid | TX | |
| 080462703 | Medicaid | TX |
NPI Registry JSON
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1083697296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772666308",
"fax_number": "713-523-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 GARTH RD",
"address_2": "SUITE 400",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "77521",
"telephone_number": "281-420-8400",
"fax_number": "713-523-4897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "KENT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G4438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139577415",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080462703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baytown, TX
- Shamonica Anderson
- Vaterria Yorrael Anderson
- Ronnie Lee Andress
- Tracy Martin Andrus
- Kashif H Ansari
- Susan - Antony
- Ashley Anyasi
- Apna Cola LLC
- Norma Arceneax-Humphrey
- Allie Archer
All providers in Baytown, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.