Organization Active NPI

Geriatric and Hospice Medical Services

  • Geriatric Medicine (Family Medicine) Physician
  • Amherst, NH
National Provider Identifier
1124170808
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
GERIATRIC AND HOSPICE MEDICAL SERVICES
Practice address
28 The Flume
Amherst, NH 03031-1520
Phone
(281) 358-7766
Fax
(281) 605-1451
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Laura Ashley Devries, PA-CNPI 1093806861
Title
Owner
Phone
(281) 358-7766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

28 The Flume
Amherst, NH 03031-1520

Mailing address

28 The Flume
Amherst, NH 03031-1520
Phone (281) 358-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616000301 TX Part B Supplier - Clinic/Group Practice 5395729453 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

Locations

3934 FM 1960 Rd W
Ste 330
Houston, TX 77068
Phone (281) 444-1367

1110 Kingwood Dr
Ste 200JK
Kingwood, TX 77339
Phone (281) 358-7766

3007 Woodland Hills Dr
Kingwood, TX 77339

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1124170808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 THE FLUME",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030311520",
            "telephone_number": "281-358-7766",
            "fax_number": "281-605-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 THE FLUME",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030311520",
            "telephone_number": "281-358-7766",
            "fax_number": "281-605-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC AND HOSPICE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-358-7766",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.