Sspmr, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SSPMR, PLLC

Doing business as

Sandstone Family Medicine

Practice address

1803 W White Oak Ter Ste B
Conroe, TX 77304-3675

Phone

(713) 825-8670

Fax

(936) 582-0410

NPI assigned

Apr 17, 2018

Last updated

Dec 7, 2018By 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

Dr. Tony Deramus, DCNPI 1750494985

Title

Management

Phone

(713) 825-8670

Specialties & licenses 2

Addresses

Other names 1

• Sandstone Family Medicine Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sandstone Medical

  • Multi-Specialty Clinic/Center
  • Montgomery, TX
  • NPI 1134772270

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Tony Wesley Deramus, DC

  • Sports Physician Chiropractor
  • Montgomery, TX
  • NPI 1750494985
  NPD (past) Authorized official

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1144717968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W WHITE OAK TER STE B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043675",
            "telephone_number": "713-825-8670",
            "fax_number": "936-582-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W WHITE OAK TER STE B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043675",
            "telephone_number": "713-825-8670",
            "fax_number": "936-582-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSPMR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "DERAMUS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "713-825-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "M4108",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandstone Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.