Premier Specialty Physicians

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREMIER SPECIALTY PHYSICIANS

Practice address

5 Grogans Park Dr Ste 203
The Woodlands, TX 77380-2191

Phone

(281) 645-0207

Fax

(281) 645-0214

NPI assigned

Sep 6, 2018

Last updated

Feb 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Dejesus

Title

Ceo

Phone

(281) 645-0207

Specialties & licenses 8

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kateesa Childs

  • Family Nurse Practitioner
  • The Woodlands, TX
  • NPI 1386300317
  NPD
• Carlos Reyes-Pescador, M.D.

  • General Practice Physician
  • Rockwall, TX
  • NPI 1760644975
  NPD
• Gerald R. Callas, M.D.

  • Anesthesiology Physician
  • Beaumont, TX
  • NPI 1376538942
  NPD (past)
• Erika Cook

  • Family Nurse Practitioner
  • Huntsville, TX
  • NPI 1912488420
  NPD (past)
• Michelle Jones, NP

  • Family Nurse Practitioner
  • Coppell, TX
  • NPI 1730432493
  NPD (past)
• Ginger Weaver, APRN, FNP-C

  • Family Nurse Practitioner
  • Southlake, TX
  • NPI 1134708266
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1134601073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GROGANS PARK DR STE 203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802191",
            "telephone_number": "281-645-0207",
            "fax_number": "281-645-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GROGANS PARK DR STE 203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802191",
            "telephone_number": "281-645-0207",
            "fax_number": "281-645-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPECIALTY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-645-0207"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precise Pathology Associates PLLC
• Precision Migraine Clinic PLLC
• Precision Surgical Assisting, LLC
• Premier DME, LLC
• Premier DVT Solutions LLC
• Premier Surgeons Management, LLC
• Premium Choice Physicians
• Preserve Physical Therapy, LLC
• Prestige Spinal Care, LLC (Prestige Spinal Care)
• Prevention and Recovery Center, Inc. (Prevention and Recovery Center, The Woodlands IOP)

• Internal Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.