Theory Health Medical PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THEORY HEALTH MEDICAL PA

Practice address

135 Oyster Creek Dr Ste E
Lake Jackson, TX 77566-4119

Phone

(979) 266-9401

NPI assigned

Jan 12, 2024

Organization subpart

No

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

Authorized official

Name

Jeevan C Gowda, MDNPI 1881862027

Title

Physican

Phone

(313) 980-2199

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Theory Health Medical PA Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeevan Chaythan Gowda, MD

  • Internal Medicine Physician
  • Lake Jackson, TX
  • NPI 1881862027

  Internal Medicine, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1114798782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OYSTER CREEK DR STE E",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664119",
            "telephone_number": "979-266-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OYSTER CREEK DR STE E",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664119",
            "telephone_number": "979-266-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEORY HEALTH MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "JEEVAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "313-980-2199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881862027",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theory Health Medical PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Lake Jackson, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.