Neudorf Infectious Diseases Clinic

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

P1789 Issued in TX

Legal business name

NEUDORF INFECTIOUS DISEASES CLINIC

Practice address

800 Riverwood CT Ste 102
Conroe, TX 77304-2824

Phone

(936) 539-0090

Fax

(936) 788-2224

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Elizabeth Miller, MDNPI 1366647786

Title

Physician

Phone

(936) 539-0090

Specialties & licenses 1

Addresses

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 6

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

• Sarah Elizabeth Miller, M.D.

  • Infectious Disease Physician
  • College Station, TX
  • NPI 1366647786
  Medicare reassignment NPD Authorized official
• Adeel Afzal, M.D.

  • Internal Medicine Physician
  • Conroe, TX
  • NPI 1982866653
  NPD
• Kimberly Ann Macnaul, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
  • NPI 1902487051
  NPD
• Portia Magaya Tirimboyi, FNP-C

  • Family Nurse Practitioner
  • Katy, TX
  • NPI 1063910719
  NPD
• Connie Marie Alkoka, FNP-C

  • Family Nurse Practitioner
  • Auburndale, FL
  • NPI 1538676291
  NPD
• Alexandria Michelle Ingram, FNP-C

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1770115420
  NPD

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1174887905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RIVERWOOD CT STE 102",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042824",
            "telephone_number": "936-539-0090",
            "fax_number": "936-788-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIVERWOOD CT STE 102",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042824",
            "telephone_number": "936-539-0090",
            "fax_number": "936-788-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 River Pointe Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "77304",
            "country_code": "US",
            "telephone_number": "936-539-0090",
            "fax_number": "936-788-2224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20821 Eva St Ste 873B",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773561976",
            "country_code": "US",
            "telephone_number": "936-539-0090",
            "fax_number": "936-788-2224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Medical Center Blvd",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042889",
            "country_code": "US",
            "telephone_number": "936-539-0090",
            "fax_number": "936-788-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUDORF INFECTIOUS DISEASES CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "936-539-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "P1789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Elliott Nelson, DC
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• Infectious Disease Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.