Woodlands Ionm LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

WOODLANDS IONM LLC

Practice address

3786 FM 1488 Rd Ste 170
The Woodlands, TX 77384-4988

Phone

(281) 721-9667

Fax

(281) 781-2540

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Agith Muthalaly

Title

Owner

Phone

(616) 843-7007

Specialties & licenses 3

Addresses

Electronic endpoints 2

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 9

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

• Ninon Mukalel, M.D.

  • Neurology Physician
  • Houston, TX
  • NPI 1942402979
  NPD
• Joseph Xavier Becker, MSPT

  • Physical Therapist
  • Pearland, TX
  • NPI 1942392246
  NPD (past)
• Daniel Dao

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1487888210
  NPD (past)
• Jose Arturo Garcia, M.D.

  • Anesthesiology Physician
  • The Woodlands, TX
  • NPI 1760879092
  NPD (past)
• Sunil Kumar Jeganathan, MD, DPM

  • Foot Surgery Podiatrist
  • Houston, TX
  • NPI 1275988933
  NPD (past)
• Harsha Ramanujam Kannan, DO

  • Interventional Pain Medicine Physician
  • Houston, TX
  • NPI 1730677196
  NPD (past)
• Jessen James Mukalel, M.D.

  • Interventional Pain Medicine Physician
  • Conroe, TX
  • NPI 1336397280
  NPD (past)
• Michalle Wooten Roberts, M.D.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1720072259
  NPD (past)
• Mona Bartram

  • Clinical Social Worker
  • Lake Worth, FL
  • NPI 1225395171
  NPD (past)

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1154031375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10857 KUYKENDAHL RD STE 120",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 FM 1488 RD STE 170",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844988",
            "telephone_number": "281-721-9667",
            "fax_number": "281-781-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS IONM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "MUTHALALY",
        "authorized_official_first_name": "AGITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-843-7007"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "woodlandsionm@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "10857 Kuykendahl Rd Ste 120",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773822937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@woodlandsionm.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3786 Fm 1488 Rd Ste 170",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773844988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Woodlands Integrated Healthcare Specialists, PLLC
• Woodlands Internists ,P.a
• Woodlands Laser Center LLP
• Woodlands Natural Care Inc
• Woodlands Neuro Solutions LLC
• Woodlands Neurology and Sleep PA
• Woodlands Nutrition LLC

• Physiological Laboratory in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.