Organization Active NPI

Northern Pines Health Partners PA

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1134322233
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M6312 Issued in TX
Legal business name
NORTHERN PINES HEALTH PARTNERS PA
Practice address
8515 Spring Cypress Rd
#108
Spring, TX 77379-3354
Phone
(281) 376-2200
Fax
(281) 376-2205
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Nguyen Duc Phan, MDNPI 1245266949
Title
Director
Phone
(281) 376-2200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X M6312 TX Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X L9848 TX

Addresses

Primary practice location

8515 Spring Cypress Rd
#108
Spring, TX 77379-3354

Mailing address

8515 Spring Cypress Rd
Suite #108
Spring, TX 77379-3354
Phone (281) 376-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061024000582 TX Part B Supplier - Clinic/Group Practice 1557368180 Receives reassigned benefits from 2 practitioners
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

8515 Spring Cypress Rd
Ste 108
Spring, TX 77379
Phone (281) 376-2200

8515 Spring Cypress Rd
Ste 900
Spring, TX 77379
Phone (281) 376-2200

Practitioners & affiliated clinicians

Practitioners 2

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1134322233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 SPRING CYPRESS RD",
            "address_2": "SUITE #108",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793354",
            "telephone_number": "281-376-2200",
            "fax_number": "281-376-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 SPRING CYPRESS RD",
            "address_2": "#108",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793354",
            "telephone_number": "281-376-2200",
            "fax_number": "281-376-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PINES HEALTH PARTNERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-376-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M6312",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.