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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
I20060502000752 TX Practitioner - Family Practice 0749209690 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G4438TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Current
since Jul 25, 2016
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

  • Direct secure messaging: kanthonymd34637@direct.utmb.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
139577415MedicaidTX
080462703MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 26, 2013.

{
    "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

All providers in Baytown, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.